8+ Sample Functional Behavior Assessment Forms

Assessment Forms are useful for a variety of purposes where the key objective is to analyze and improve a certain behavior. Naturally, one place this could have the most use is in educational institutions. Teachers and other administrative authorities can perform functional behavior assessments on problem students to formally identify and articulate which behaviors are maladaptive and must be changed.

If you’re not sure how to go about assessing behavior in the classroom, this list is a great place to start. Here are a variety of layouts and samples for behavioral assessment, available as free templates you can download as PDF or Word doc files.

Functional Behavior Assessment Observation Form

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Size: 47 KB

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Sample Functional Behavior Assessment Interview Form

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Size: 97 KB

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Functional Behavior Assessment Consent Form in PDF

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Size: 1 MB

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Functional Behavioral Assessment Screening Form

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Size: 40 KB

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Functional Behavioral Assessment Model Form

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Size: 1 MB

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Why Functional Behavior Assessment?

This kind of assessment is also called “positive behavior support” and is a part of behavior modification for behavior management tactics. Basically, analyzing for problems and planning for disciplinary action.

Creating a formal document for such corrective measures is standard procedure for tracking the improvement or worsening of a student’s behavior.

How to Employ Functional Behavior Assessment

  • Weigh the strengths as well as the weaknesses of the student in order to get a fuller picture of the individual situation.
  • Identify and record the student’s routines by means of interview or observation. Pinpoint when and where such problem behaviors are most likely to occur, and in whose company. This will give you context of the problem and help you predict when this behavior is likely to reoccur.
  • Define the problematic behavior(s) as precisely as possible. Describe the behavior, its frequency, its average duration, and the level of danger this may pose to others. This will lock down your target behavior.
  • Identify the efforts of correction that are already in place and have failed or only partially succeeded.
  • From the above information, summarize the situation and propose a plan of action to respond to this behavior in future. This would include strategies to limit or prevent its re-occurrence.

There are some great resources on Template.net for a variety of assessment templates that you might find useful for other scenarios:

Functional Behavior Assessment Form Autism

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Size: 71 KB

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Waiver Functional Behavior Assessment Form Example

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Size: 65 KB

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Protocol Functional Behavior Assessment Form

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Size: 14 KB

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Functional Behavioral Assessment Support Form

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  • PDF

Size: 165 KB

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Bonus Resources

Anyone who has to professionally deal with children on a regular basis will find the list of free templates at 6+ Teacher Checklist Templates as a useful resource. This list covers everything from assignment checklists, skill assessment checklists, and observation checklists, as well as functional behavior assessment for teachers.

Every other area of our lives could benefit from assessment. Template.net provides free templates for assessment forms to guide you in screening your other affairs for management and success. See Sample Insurance Assessment Forms for just one example of many.

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