Functional Behavioral Assessment
Functional Behavioral Assessment (Student •• Based on intef"View by teacher
or other
Input)**
person with whom the student
Student Name
has a positive
relationship.
Today's Date
Blrthdate
Grade
_
School
_
Who helps you most when you have a problem at school?
_
Of all the people in your life, who do you respect the most?
_
What's the worst thing about school?
_
What's the best thing about school?
_
What do you like to do when you aren't at school?
Sure NO
YES
_
- -
Not interesting? Is school work too for you? Do you think you people would notice do when better you in you school do get a good ifit? youjob? got more Doyour youyou do better at school when someone works with you? rewards? When ask for help ateasy school, do
What types of things get you in trouble at school?
_
What causes you to get in trouble?
_
What could we do to make school work better for you?
Is there anything else we need to know?
.
_
_
Student Input
or other
Input)**
person with whom the student
Student Name
has a positive
relationship.
Today's Date
Blrthdate
Grade
_
School
_
Who helps you most when you have a problem at school?
_
Of all the people in your life, who do you respect the most?
_
What's the worst thing about school?
_
What's the best thing about school?
_
What do you like to do when you aren't at school?
Sure NO
YES
_
- -
Not interesting? Is school work too for you? Do you think you people would notice do when better you in you school do get a good ifit? youjob? got more Doyour youyou do better at school when someone works with you? rewards? When ask for help ateasy school, do
What types of things get you in trouble at school?
_
What causes you to get in trouble?
_
What could we do to make school work better for you?
Is there anything else we need to know?
.
_
_
Student Input
