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Free Printable Potty Log

One day of toilet practice, a row each try: the time, sat on the toilet, pee, poop, dry before, accident, and a note.

What you type stays on your phone.

How to use it
  1. Write the plan at the top with your child's BCBA or team: how often to try, and what your child gets for trying.
  2. Each try, write the time and tick what happened. An accident goes on its own row.
  3. Start a new page each day, and bring a week of pages to your next session.

An example, filled in

Example child Filled in for Auren, an example child. Your copy starts blank.
Potty LogOne day. A row each try.CHILDAurenDATEOct 22WE TRY EVERY45 minutesFOR TRYING, MY CHILD GETSA sticker and a high fiveTIMESatPeePoopDry beforeAccidentNOTE7:15 am8:00 amSat 2 minutes, nothing8:40 amBusy playing trains9:00 amBig cheer!WHAT I NOTICEGoes most often about 30 minutes after a drink.Add this to your child's Bloom Autism Support: snap a photo and send it to your child's Bloom Autism Support email address.Made with Bloom Autism Support · bloomautismsupport.com/freetools
Why it helps

Toilet learning takes time, and the pattern is easy to lose from one day to the next. A row per try shows when your child usually goes, so the tries can line up with it.

Version

Add this to your child's Bloom Autism Support: snap a photo and send it to your child's Bloom Autism Support email address.

Made by autism parents with 10 years in special education and ABA.

Keep everything about your child in one place. Bloom Autism Support remembers it all, so you never start from scratch.

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