Open ended functional assessment interview pdf 2026

1. Click ‘Get Form’ to open it in the editor.
2. Begin by filling out the Basic Information section. Enter the Date of Interview, Child/Client name, Respondent's name and relation to the child/client, and Interviewer's name.
3. In the Relevant Background Information section, provide details such as the child's date of birth, current age, language abilities, school attendance, play skills, preferences, and any medications being taken.
4. Proceed to Questions for Functional Analysis Design. Identify problem behaviors by checking relevant boxes and providing comments on their appearance.
5. Detail the most concerning problem behaviors and describe their intensities in terms of potential harm in the next sections.
6. Answer questions regarding antecedent conditions that trigger problem behaviors and how you or others respond to these behaviors.
7. Finally, reflect on what you believe the child is trying to communicate through their behavior in the Final Questions section.

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