╨╧рб▒с>■  ■                                                                                                                                                                                                                                                                                                                                                                                                                                                   ¤   ■   ■    ■                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       Root Entry        р╧ёГоШ├АMatOST             >╨ГоШ├ >╨ГоШ├MM            MN0    3■     !"#$%&'()*+,-./0123456789■                                                                                                                                                                                                                                                                                           ND■P0│╨7N 3    ┼аар=╨/╨ d ╨3▀ TFunctional Behavior Assessment Sevier County Schools TEACHER INTERVIEW Student _________________________________________ Grade ______ Teacher ______________________________ Date _________________________ ACompleted by teacher AConducted by interview. Interviewer: ___________ 1. What specific* behaviors (maximum of 3) occur in school that interfere most with this studentТs learning/social relationships? (List in order of importance.) *Describe the ACTUAL behavior. For example, instead of УaggressiveФ, you would write УhitsФ, УbitesФ, УkicksФ, etc. 1.______________________________________________________ 2.______________________________________________________ 3.______________________________________________________ 2. When are these behaviors most likely to occur? (time, situation, etc.) __________________________________________________________________ __________________________________________________________________ 3. Student strengths: (social and academic) __________________________________________________________________ __________________________________________________________________ 4. Student weaknesses: (social and academic) __________________________________________________________________ __________________________________________________________________ 5. Does student attend school consistently? AYes VNo 6. Have you had a conference with parent/guardian about this problem behavior? AYes VNo If yes, date of conference: _______________________________ Results/Changes made: __________________________________________________ 7. Describe specific interventions you have used in the classroom. Indicate the degree of success of each, including rewards and punishments: (Use back of page if necessary.) __________________________________________________________________ __________________________________________________________________ 8. What are the studentТs favorite things to do? (possible reinforcers) __________________________________________________________________ __________________________________________________________________ 9. Reinforcers that do NOT work with this student: __________________________________________________________________ __________________________________________________________________ 79J╓╫Її╧Drsv█▄▀уN ysooioooo 79LNП╓(*╬D║їўCИ═╧■Жqqkk р└!ЖИ╖№ACГЕ╓%tv)n│╢ F Л Н ┬  L N N ЖN Times New RomanMT ExtraTimes New Roman CETimes New Roman CyrTimes New Roman GreekTimes New Roman TurTimes New Roman (Hebrew)Times New Roman (Arabic)Times New Roman Baltic         79