Functional assessment interview form 2025

1. Click ‘Get Form’ to open the functional assessment interview form in the editor.
2. Begin by filling in the child's name, age, and date of the interview at the top of the form. This information is crucial for identifying the subject of your assessment.
3. In Section A, describe the behaviors of concern. For each behavior, detail how it is performed, its frequency, duration, and intensity. Use clear language to ensure accurate understanding.
4. Proceed to Section B to identify events that may affect these behaviors. Document any medications, medical complications, sleep patterns, and daily routines that could influence behavior.
5. In Section C, outline triggers for these behaviors by noting times of day, settings, social interactions, and specific activities that may provoke them.
6. Continue through Sections D to I by providing insights into play abilities, communication strategies, preferences, and previous interventions. Each section builds a comprehensive profile of the child’s behavior.

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