FBA Interview Forms

Item description

Why you
need FBA Interview Forms

FBA Parent Interview Form

Send the FBA Parent Interview Form to parents to complete
on their own, do it together with the parents, or use it as guiding questions
for an in-person or phone interview.

The parent interview form covers topics like:

• checklist
  of child strengths and interests
• favorite
  items and activities (helpful for determining possible reinforcers for
  BIP)
• diagnoses
  and medications
• outside
  services
• parents’
  view of what is and is not going well at school
• checklist
  of problem behaviors seen at home
• parental
  hypothesis for why problem behaviors occur
• parental
  strategies for dealing with problem behavior

FBA Teacher Interview Form

Send the FBA Teacher Interview Form to teachers to complete
on their own, do it together with them, or use it as guiding questions for an
in-person or phone interview.

If a student has multiple teachers, consider having more
than one teacher complete the interview form. This will help you determine why
a behavior may be more or less likely to occur with certain teachers or during
certain subjects. These forms also help clarify what strategies have already
been attempted.

The teacher interview form covers topics like:

• checklist
  comparing student academic and social skills to typical grade-level peers
• academic
  summary
• student
  strengths and interests
• a detailed
  description of top problem behaviors
• teacher
  hypothesis for why problem behaviors occur
• observed
  triggers and reactions of peers
• times when
  behaviors are most/least likely to occur
• descriptions
  of strategies that teachers have already attempted (reinforcement,
  reteaching expected behaviors, and correction procedures)

FBA Student Interview Form

Allow the student to complete the FBA Student Interview
Form on their own (depending upon age and ability), or do it together with the
student. This is a piece that many people leave out of functional behavior
assessments. If you interview your student, however, it will give you a
first-hand account of their perspective. This is highly valuable when you are
looking to write a behavior plan in the future.

The student interview form covers topics like:

• student
  interests
• survey of
  important peers and adults in the student’s life
• strategies
  that they use to calm themselves down when upset
• how they
  believe adults could help them at school
• discussion
  of the behaviors that get them into trouble at school (what the behaviors
  are, how often they occur, how long they last, etc.)
• what makes
  them more or less likely to engage in the problem behavior/s
• how they
  perceive the reaction of peers and adults after they engage in the
  behavior