Follow the steps to ensure a thorough completion of the form.

1. Press the ‘Get Form’ button to access and open the Functional Assessment Interview form in your preferred online editor.
2. Begin by filling in the student’s name, date, school, grade, and date of birth in the designated fields at the top of the form.
3. Identify the individuals completing the assessment by writing their names in the appropriate field.
4. In Part A, outline the goals and desired outcomes by responding to the prompts regarding the student’s displayed skills and strengths, as well as the intervention goals.
5. Part B requires you to operationally define the typical target behaviors. Document specific behaviors and describe them regarding appearance, duration, intensity, causes, and frequency.
6. In Part C, identify typical antecedent and consequent events. Answer questions regarding life stressors, health conditions, triggers, and skill deficits affecting the student.
7. Provide detailed responses for each question, focusing on the conditions under which the target behaviors occur.
8. In Part D, list the student's daily schedule, including activities and corresponding behaviors while assessing the probability of occurrence using low, medium, or high ratings.
9. Summarize your findings by transferring information gathered from Parts A, B, C, and D into the summary chart provided at the end of the document.
10. Conclude by forming a specific hypothesis regarding the function of the behavior based on the information you have compiled.
11. Finally, review your entries. Save your changes, and depending on your needs, you may choose to download, print, or share the completed form.

Take the next step in supporting student needs by completing the Functional Assessment Interview online today.