Get Tier 1 Behavior Intervention Checklist

The Tier 1 Behavior Intervention Checklist is a vital tool for documenting and analyzing student behaviors in a structured manner. This guide provides step-by-step instructions on how to effectively fill out this form online to support behavioral interventions.

Follow the steps to complete the checklist online.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Begin by entering the date the intervention started in the designated field labeled 'Date Started' and the date referred to Tier 2 in 'Date referred to Tier 2' if applicable.
3. In the section for 'Student Name,' provide the full name of the student, followed by their grade level and the teacher's name.
4. Identify the target behaviors by filling in 'Target Behavior 1' and 'Target Behavior 2' with clear descriptions of the behaviors that you are addressing.
5. Utilize the 'Breaks' section to outline any breaks provided to the student. Indicate the frequency by marking either Daily (D) or Weekly (W) and record the start and end times along with the student's response.
6. In the 'Consequences' portion, detail the strategies used to address the target behaviors. Again, use Daily (D) or Weekly (W) to mark frequency and describe the approach taken.
7. Proceed to the 'Praise' section where you can document instances of positive reinforcement. Fill out the frequency (Daily or Weekly) and provide dates along with student responses.
8. For any additional notes on behavior changes, use the provided fields to describe what changes were observed over time. Be specific with the dates and responses here.
9. After you have filled out all sections, review the information for accuracy. You can then save your changes, download, print, or share the completed form as needed.

Start filling out your Tier 1 Behavior Intervention Checklist online today to enhance support for student behavior management.