FBA Records Review: Functional Behavioral Assessment Data Collection Form
Understanding a student's behavior requires the full history, not just the last two weeks. This Records Review form helps you pull discipline history, prior interventions, IEP information, attendance, and academic data into one place before your FBA begins.
What's Inside
- Student, grade, date, and reviewer fields, plus a check for whether the student has an IEP
- Documents Reviewed checklist: Discipline Referral Records, Suspension Records, Attendance Records, Medical and Health Records, Previous Intervention Data, Previous FBA and BIP records, IEP, Academic Assessment Results, and State Test Scores
- Discipline Referrals and Suspension Data: current year totals and patterns across Antecedent, Behavior, and Consequence
- Tier 2 Intervention Data table: prior interventions, student response, and data
- Tier 3 FBA and BIP history table: previous plans the student has had
- Space for Other Behavioral Assessment Data, IEP information relevant to behavior, Attendance Data comparing current and previous years, and Academic Assessment Results
How It Helps You
- Catches patterns already sitting in the student's file
- Keeps background data in one reference for interviews and team meetings
- Gives the FBA a solid starting point
Ways to Use It
Complete it as one of the first steps of the FBA, before or alongside the FACTS interview and ABC observation. It gathers background data and works alongside those tools rather than replacing them.
Who It's For
Behavior specialists, school psychologists, special education teachers, counselors, and administrators.
Format
Word document (editable) and PDF (print-ready). Instant download. 3 pages.
Need more than one?
If you are building a full FBA process, many more editable forms are available in one download. The Fillable & Editable Forms Mega Bundle brings together 59 related resources in one download, and you save 48% compared to buying each item separately.
