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Tier 1 behavior intervention checklist 2026

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  1. Click ‘Get Form’ to open the tier 1 behavior intervention checklist in the editor.
  2. Begin by entering the 'Date Started' and 'Date referred to Tier 2' at the top of the form. This establishes a timeline for tracking interventions.
  3. Fill in the 'Student Name', 'Grade', and 'Teacher' fields to identify the student and their educational context.
  4. In the 'Target Behavior' sections, specify up to two behaviors you aim to address. This helps focus your interventions.
  5. For each intervention listed under 'Breaks', indicate whether it is a daily or weekly strategy, and document student responses accordingly.
  6. In the 'Consequences' section, similarly mark daily or weekly actions taken and note any changes in student behavior over time.
  7. Utilize the 'Praise' section to record positive reinforcement strategies, ensuring you track both rewards and behavioral improvements.

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