Functional assessment interview tool parent guardian form 2026

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  1. Click ‘Get Form’ to open it in the editor.
  2. Begin by entering the student's name, school, grade, date, interviewer, age, and respondent details at the top of the form.
  3. In section 1, describe positive attributes of your child by checking relevant boxes. You can add additional comments in the provided spaces.
  4. For section 2, list your child's interests and preferences. This helps provide context for their behavior.
  5. In sections 3 and 4, detail any challenging behaviors and the conditions under which they occur. Be specific about locations and people involved.
  6. Section 6 asks if any factors contribute to these behaviors. Check applicable boxes and elaborate as needed.
  7. In section 7, indicate when problem behaviors are more likely to happen by checking relevant options and providing explanations.
  8. Describe your typical responses to problem behaviors in section 8 by selecting appropriate actions from the list provided.
  9. Sections 9 and 10 focus on what your child avoids or gains through their behavior. Fill these out thoughtfully based on your observations.
  10. Finally, provide insights about outside support in section 11 and strategies used in section 12 to address behavioral concerns.

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