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FBA

Interview -Student Section II

Student Name: __________________________________ Birthdate:_______________ Age:_________

School: ________________________________________ Grade:________ Teacher:______________________

**Ask the student to list the things he/she does which result in trouble or problems at school. Be sure to note student comments.

Behavior Questions Comments

1 When do you think you have the fewest problems with


this behavior?

When do you think you have the most problems with


this behavior?

Why do you think you have problems during these


times?

What changes could be made so that you have fewer


problems with this behavior?

2 When do you think you have the fewest problems with


this behavior?

When do you think you have the most problems with


this behavior?

Why do you think you have problems during these


times?

What changes could be made so that you have fewer


problems with this behavior?

3 When do you think you have the fewest problems with


this behavior?

When do you think you have the most problems with


this behavior?

Why do you think you have problems during these


times?

What changes could be made so that you have fewer


problems with this behavior?

4 When do you think you have the fewest problems with


this behavior?

When do you think you have the most problems with


this behavior?

Why do you think you have problems during these


times?

FBS Student Interview- Section II 1


FBA

Interview -Student Section II


Behavior Questions Comments
What changes could be made so that you have fewer
problems with this behavior?

FBS Student Interview- Section II 1

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