Loading
Form preview
  • US Legal Forms
  • Form Library
  • More Forms
  • More Multi-State Forms
  • Functional Assessment Interview

Get Functional Assessment Interview

Nd Program Development for Problem Behavior. Pacific Grove, CA: Brooks/Cole Publishing. FUNCTIONAL ASSESSMENT INTERVIEW FORM YOUNG CHILD Child with Problem Behavior(s): Age: Yrs Date of Interview: Mos Interviewer: Sex: M F Respondent(s): A. DESCRIBE THE BEHAVIOR(S) 1. What are the behaviors of concern? For each, define how it is performed, how often it occurs per day, week, or month, how long it lasts when it occurs, and the intensity in which it occurs (low, medium, high). Behavior.

How it works

  1. Open form

    Open form follow the instructions

  2. Easily sign form

    Easily sign the form with your finger

  3. Share form

    Send filled & signed form or save

How to fill out the Functional Assessment Interview online

Completing the Functional Assessment Interview online can help gather important insights regarding a child's behavior. This guide provides a clear and supportive framework to understand and fill out each section of the form effectively.

Follow the steps to complete the Functional Assessment Interview with ease.

  1. Use the ‘Get Form’ button to access the Functional Assessment Interview form and open it for editing.
  2. Begin by entering the child's details in the first section, including the child's name, age, date of the interview, and the interviewer's name. Ensure that this information is accurate as it sets the context for the assessment.
  3. In section A, describe the behaviors of concern. For each behavior, specify how it is performed, its frequency, duration, and intensity. Be comprehensive to provide clear context.
  4. In section B, assess potential ecological events affecting the child’s behavior. Document medications, medical complications, sleep cycles, eating habits, and daily routines.
  5. In section C, identify the contexts of behavior occurrences by noting the times of day, settings, social interactions, and specific activities related to the behaviors.
  6. Section D focuses on understanding the child's play abilities. Provide detailed observations about how the child plays alone and with others, including reactions to different play scenarios.
  7. In section E, distinguish the function of undesired behaviors. Reflect on what the child gains or avoids through their behaviors.
  8. Complete section F by evaluating the efficiency of the undesired behaviors, including physical effort and corresponding payoffs.
  9. In section G, define the primary communication methods used by the child. Document expressive and receptive communication abilities.
  10. Finally, summarize key findings in sections H and I, focusing on supportive events and developing summary statements for major predictors and consequences.
  11. After completing the form, ensure all changes are saved. You can download, print, or share the completed document as needed.

Start filling out the Functional Assessment Interview online to better understand the child's behavior.

Get form

Experience a faster way to fill out and sign forms on the web. Access the most extensive library of templates available.
Get form

Related content

Functional Behavioral Assessment Interview Form...
FUNCTIONAL BEHAVIORAL ASSESSMENT INTERVIEW FORM. Focus person. Date of Birth. Sex M F...
Learn more
Functional-Assessment-Interview-FAI-93-103.pdf
FUNCTIONAL ASSESSMENT INTERVIEW (FAI). Person of concern. Age. Sex M. _. _F. Date of...
Learn more
SCoRS - Wikipedia
The Schizophrenia Cognition Rating Scale (SCoRS) is a 20 item interview-based clinical...
Learn more

Related links form

Canada Saskatchewan Small Raffle Application Canada SST-NOA-GD-EI 2013 CA RTB-1 2011 Canada REG3062 2006

Questions & Answers

Get answers to your most pressing questions about US Legal Forms API.

Contact support

Functional assessments include a combination of subjective questioning as well as various objective functional tests. Some of the test that may be performed as part of a functional/musculoskeletal assessments may include: Postural observation – observation of neck, back and foot alignment.

Examples include: Field Tests: 6 Minute Walk Test, Shuttle Walk Test, Step Test. Laboratory Tests: Maximal Oxygen Uptake- VO2 Max, VO2 Peak-Aerobic Capacity.

Description. The FAST is a type of indirect functional assessment method. It is comprised of a self-report checklist designed to identify whether maladaptive behavior is maintained via attention and tangibles, escape, sensory stimulation, or pain attenuation.

There are only score designations. All you need to do is circle the number of questions answered “Yes” and enter the number of items circled in the “Total” column. The designations are referred to as Potential Sources of Reinforcement: Social (attention/preferred items) = Items 1 to 4.

The FAST is a type of indirect functional assessment method. It is comprised of a self-report checklist designed to identify whether maladaptive behavior is maintained via attention and tangibles, escape, sensory stimulation, or pain attenuation.

What is included in a functional behavior assessment? The 6-step process Step 1: Collect the data. ... Step 2: Analyze the data. ... Step 3: Develop a hypothesis. ... Step 4: Form a behavior support plan. ... Step 5: Implement a behavioral intervention plan. ... Step 6: Evaluate.

Five main outcomes of a FAI: clear description of problem behaviors. Identify immediate antecedents. Identify ecological or setting events. Identify consequences for maintaining problem behaviors and potential functions. Summary statements.

Functional Assessment Interview (FAI; O'Neill et al., 1997). The FAI takes approximately 45-90 minutes to administer and provides the following outcomes: description of the interfering behavior, events or factors that predict the behavior, possible function of the behavior, and summary statements (behavior hypothesis).

The Functional Assessment Interview (FAI; O'Neill et al., 1997) is a semi-structured interview with 11 sections, which is designed to gather information about a behavior and the circumstances under which it occurs.

Get This Form Now!

Use professional pre-built templates to fill in and sign documents online faster. Get access to thousands of forms.
Get form
If you believe that this page should be taken down, please follow our DMCA take down processhere.

Industry-leading security and compliance

US Legal Forms protects your data by complying with industry-specific security standards.
  • In businnes since 1997
    25+ years providing professional legal documents.
  • Accredited business
    Guarantees that a business meets BBB accreditation standards in the US and Canada.
  • Secured by Braintree
    Validated Level 1 PCI DSS compliant payment gateway that accepts most major credit and debit card brands from across the globe.
Get Functional Assessment Interview
Get form
  • Adoption
  • Bankruptcy
  • Contractors
  • Divorce
  • Home Sales
  • Employment
  • Identity Theft
  • Incorporation
  • Landlord Tenant
  • Living Trust
  • Name Change
  • Personal Planning
  • Small Business
  • Wills & Estates
  • Packages A-Z
  • Affidavits
  • Bankruptcy
  • Bill of Sale
  • Corporate - LLC
  • Divorce
  • Employment
  • Identity Theft
  • Internet Technology
  • Landlord Tenant
  • Living Wills
  • Name Change
  • Power of Attorney
  • Real Estate
  • Small Estates
  • Wills
  • All Forms
  • Forms A-Z
  • Form Library
  • Legal Hub
  • About Us
  • Help Portal
  • Legal Resources
  • Blog
  • Affiliates
  • Contact Us
  • Delete My Account
  • Site Map
  • Industries
  • Forms in Spanish
  • Localized Forms
  • State-specific Forms
  • Forms Kit
  • Real Estate Handbook
  • All Guides
  • Notarize
  • Incorporation services
  • For Consumers
  • For Small Business
  • For Attorneys
  • USLegal
  • FormsPass
  • pdfFiller
  • signNow
  • altaFlow
  • DocHub
  • Instapage
Form Packages
  • Adoption
  • Bankruptcy
  • Contractors
  • Divorce
  • Home Sales
  • Employment
  • Identity Theft
  • Incorporation
  • Landlord Tenant
  • Living Trust
  • Name Change
  • Personal Planning
  • Small Business
  • Wills & Estates
  • Packages A-Z
Form Categories
  • Affidavits
  • Bankruptcy
  • Bill of Sale
  • Corporate - LLC
  • Divorce
  • Employment
  • Identity Theft
  • Internet Technology
  • Landlord Tenant
  • Living Wills
  • Name Change
  • Power of Attorney
  • Real Estate
  • Small Estates
  • Wills
  • All Forms
  • Forms A-Z
  • Form Library
Customer Service
  • Legal Hub
  • About Us
  • Help Portal
  • Legal Resources
  • Blog
  • Affiliates
  • Contact Us
  • Delete My Account
  • Site Map
  • Industries
  • Forms in Spanish
  • Localized Forms
  • State-specific Forms
  • Forms Kit
Legal Guides
  • Real Estate Handbook
  • All Guides
Prepared for you
  • Notarize
  • Incorporation services
Our Customers
  • For Consumers
  • For Small Business
  • For Attorneys
Our Sites
  • USLegal
  • FormsPass
  • pdfFiller
  • signNow
  • altaFlow
  • DocHub
  • Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
As seen in:
© Copyright 1999-2026 airSlate Legal Forms, Inc. 3720 Flowood Dr, Flowood, Mississippi 39232
  • Your Privacy Choices
  • Terms of Service
  • Privacy Notice
  • Content Takedown Policy
  • Bug Bounty Program