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An in-depth look into the Functional Behavioral Assessment (FBA) process, a method used to identify the reasons behind a student's behavior. The FBA includes gathering data on student identifying information, antecedents, concurrent events, consequences, observations, interviews, student records, and influencing factors to form a hypothesis about the function of the behavior. The document also includes a sample FBA data record form.
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Behavioral Information (continued) Antecedent(s):
Concurrent event(s):
Consequence(s) of behavior:
Background Information Observation(s): Check for each observation completed. Include date, time and setting. Multiple observations may be completed if deemed of specific value. Attach a record of each observation to this document. Observation 1: Date/Time: _________________________Setting:______________________________________ Observation 2: Date/Time: _________________________Setting : _____________________________________ Observation 3: Date/Time: _________________________Setting: ______________________________________ Observation 4: Date/Time: _________________________Setting: ______________________________________ Observation 5: Date/Time: _________________________Setting: ______________________________________ Interviews: Check for each interview conducted. Attach a record or summary of each interview to this document. parent or guardian student school staff knowledgeable of student behavior_____________________________________________________ school staff knowledgeable of student behavior _____________________________________________________ school staff knowledgeable of student behavior _____________________________________________________ other person(s) knowledgeable of student behavior __________________________________________________ Student records: Check for each student record reviewed. Include a brief summary. Attach additional summary information as necessary. attendance
discipline
academic performance
prior assessment(s)
health record
other record