FUNCTIONAL ASSESSMENT INTERVIEW FORM 2025

1. Click ‘Get Form’ to open it in the editor.
2. Begin with Section A, where you will describe the behaviors of concern. Fill in each behavior, detailing how it is performed, its frequency, duration, and intensity.
3. In Section B, define potential ecological events affecting the behaviors. Provide information on medications, medical complications, sleep cycles, and daily routines that may influence the child's behavior.
4. Proceed to Section C to identify events and situations that predict occurrences of the behaviors. Note the times of day and settings where these behaviors are most likely to happen.
5. In Section D, describe the child's play abilities and difficulties. Document how they interact with peers and adults during playtime.
6. Section E requires you to identify the function of undesirable behaviors. Reflect on what the child gains or avoids through these actions.
7. Complete Sections F through I by defining efficiency of behaviors, communication methods used by the child, supportive events or challenges they face, and summarizing key predictors and consequences.

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