The
Assessment	
 of	
 Functional	
 Living	
 Skills	
 -	
 The	
 AFLS
Toileting	
 (Continued)
TASK SCORE TASK	
 NAME TL	
 19 0	
 	
 	
 	
 1	
 	
 	
 	
 2	
 	
 	
 Changes	
 toilet	
  0	
 	
 	
 	
 1	
 	
 	
 	
 2	
 	
 	
 paper	
 roll	
 when	
  0	
 	
 	
 	
 1	
 	
 	
 	
 2	
 	
 	
 empty 0	
 	
 	
 	
 1	
 	
 	
 	
 2 TASK	
 OBJECTIVE QUESTION When	
 existing	
 roll	
 ends,	
 learner	
  Does	
 learner	
 change	
 toilet	
  will	
 initiate	
 and	
 replace	
 with	
  paper	
 roll	
 when	
 empty? new	
 toilet	
 paper	
 roll	
 when	
  existing	
 roll	
 ends. EXAMPLE CRITERIA 2=	
 	
 when	
 toilet	
 paper	
 roll	
 ends,	
 initiates	
  and	
 replaces	
 with	
 new	
 toilet	
 paper	
 roll,	
 1=	
  locates	
 a	
 spare	
 roll	
 and	
 changes	
 toilet	
  paper	
 roll	
 when	
 asked	
 to	
 do	
 so 4=	
 cleans	
 toilet	
 seat	
 and	
 floor	
 after	
 missing	
  the	
 toilet	
 and	
 washes	
 hands	
 afterwards,	
 3=	
  cleans	
 toilet	
 seat	
 after	
 missing	
 the	
 toilet	
  and	
 washes	
 hands	
 afterwards,	
 2=	
 cleans	
  urine	
 after	
 missing	
 the	
 toilet	
 with	
 verbal	
  prompts,	
 1=	
 requires	
 minimal	
 physical	
  prompts	
 to	
 clean	
 missed	
 urine Men's,	
 women's,	
 unisex,	
  2=	
 states	
 gender	
 of	
 all	
 restroom	
 signage	
  family,	
 etc. and	
 enters	
 appropriate	
 public	
 restrooms	
  consistently,	
 1=	
 selects	
 appropriate	
  restroom	
 by	
 either	
 symbols	
 or	
 words COMMENT
TL	
 20 0	
 1	
 2	
 3	
 4	
  Cleans	
 urine	
 that	
  Learner	
 will	
 clean	
 toilet	
 seat	
 and	
  Does	
 learner	
 clean	
 urine	
  0	
 1	
 2	
 3	
 4	
  missed	
 toilet floor	
 after	
 missing	
 the	
 toilet	
 and	
  that	
 missed	
 toilet? 0	
 1	
 2	
 3	
 4	
  wash	
 hands	
 afterwards. 0	
 1	
 2	
 3	
 4
TL	
 21 0	
 	
 	
 	
 1	
 	
 	
 	
 2	
 	
 	
 Identifies	
  0	
 	
 	
 	
 1	
 	
 	
 	
 2	
 	
 	
  restroom	
 signs 0	
 	
 	
 	
 1	
 	
 	
 	
 2	
 	
 	
  0	
 	
 	
 	
 1	
 	
 	
 	
 2
Learner	
 will	
 state	
 gender	
 of	
 all	
  Does	
 learner	
 use	
  restroom	
 signage	
 and	
 will	
 enter	
  appropriate	
 restroom	
  appropriate	
 public	
 restrooms	
  (male/female)? consistently.
TL	
 22 0	
 	
 	
 	
 1	
 	
 	
 	
 2	
 	
 	
 Identifies	
 vacant/	
  Learner	
 will	
 identify	
 that	
  0	
 	
 	
 	
 1	
 	
 	
 	
 2	
 	
 	
 occupied	
 signs	
 in	
  restroom	
 signs	
 indicate	
 vacant	
  0	
 	
 	
 	
 1	
 	
 	
 	
 2	
 	
 	
 public	
 restrooms or	
 occupied. 0	
 	
 	
 	
 1	
 	
 	
 	
 2
Can	
 learner	
 identify	
 signs	
  indicating	
 that	
 a	
 public	
  restroom	
 is	
 vacant	
 or	
  occupied?
"Occupied,"	
 "Vacant,"	
 "In	
  use"	
 or	
 a	
 red	
 or	
 green	
  status	
 indicator	
 near	
 lock	
  or	
 handle
2=	
 independently	
 determines	
 whether	
  restroom	
 is	
 vacant	
 or	
 occupied,	
 1=	
  requires	
 only	
 verbal	
 prompts	
 to	
 determine	
  whether	
 a	
 restroom	
 is	
 vacant	
 or	
 occupied
TL	
 23 0	
 	
 	
 	
 1	
 	
 	
 	
 2	
 	
 	
 Determines	
 if	
 a	
  0	
 	
 	
 	
 1	
 	
 	
 	
 2	
 	
 	
 stall	
 is	
 vacant 0	
 	
 	
 	
 1	
 	
 	
 	
 2	
 	
 	
  0	
 	
 	
 	
 1	
 	
 	
 	
 2 TL	
 24 0	
 	
 	
 	
 1	
 	
 	
 	
 2	
 	
 	
 Chooses	
  0	
 	
 	
 	
 1	
 	
 	
 	
 2	
 	
 	
  appropriate	
 stall 0	
 	
 	
 	
 1	
 	
 	
 	
 2	
 	
 	
  0	
 	
 	
 	
 1	
 	
 	
 	
 2
Learner	
 will	
 be	
 able	
 to	
 discretely	
  Can	
 learner	
 discretely	
  determine	
 which	
 stalls	
 are	
  determine	
 whether	
 a	
  vacant	
 in	
 a	
 public	
 restroom. bathroom	
 stall	
 is	
 vacant?
Enters	
 stalls	
 where	
 door	
 is	
  2=	
 independently	
 determines	
 whether	
  open,	
 discretely	
 looks	
 for	
  stalls	
 are	
 vacant	
 or	
 occupied,	
 1=	
 requires	
  feet	
 below	
 door	
 for	
 doors	
  only	
 verbal	
 prompts	
 to	
 determine	
 whether	
  that	
 are	
 closed,	
 etc. stalls	
 are	
 vacant	
 or	
 occupied Clean	
 toilet	
 stall,	
 with	
 a	
  door,	
 lock	
 on	
 the	
 door,	
  clean	
 toilet	
 paper,	
 dry	
  toilet	
 paper,	
 etc. 2=	
 consistently	
 selects	
 a	
 clean	
 and	
  adequately	
 supplied	
 stall,	
 1=	
 requires	
 only	
  verbal	
 prompts	
 to	
 check	
 available	
 stalls	
 to	
  find	
 one	
 that	
 is	
 clean
Learner	
 will	
 choose	
 a	
 clean	
 and	
  Does	
 learner	
 choose	
 a	
  adequately	
 supplied	
 stall	
 when	
  clean	
 restroom	
 stall	
 that	
  there	
 are	
 options	
 in	
 a	
 public	
  has	
 toilet	
 paper? restroom.
Copyright	
 	
 2012	
 by	
 Behavior	
 Analysts,	
 Inc.	
 and	
 Stimulus	
 Publications	
  ALL	
 RIGHTS	
 RESERVED
The	
 AFLS	
 -	
 Basic	
 Living	
 Skills	
 Protocol
Page	
 22