PBIS and RtI Survey
Marinette Middle School is involved in Positive Behavior Interventions and Supports (PBIS). PBIS is a method of
Response to Intervention (RtI) that specifically addresses student behavior. We are conducting this survey to see
what families know and need to know about PBIS and RtI. Please answer the following questions. Your answers
will tell us what we need to do to help families understand PBIS and RtI. Thank you very much for your help. If you
have any questions, please call Mr. Matt Hanson at 715-735-1562, or stop by the office.
Name (optional)
Grade(s) of your student(s)?
Please check all that apply
o
5th
o
6th
o
7th
o
8th
1. Have you heard of PBIS from someone within the school?
o
Yes
o
No
2. Have you heard of RtI from someone within the school?
o
Yes
o
No
3A. If you can, please list Marinette Middle School's behavior expectations.
3B. Have you used these behavioral expectations at home?
o
Yes
o
No
4. Has your student received any behavioral acknowledgements or reinforcements for
following and demonstrating the school's expectations since the school year started?
o
Yes
o
No
5A. Have you noticed a change in the behavior and/or attitude of your student?
o
Yes
o
No
5B. If yes, what have you noticed?
6A. Are you aware of a team in the school that addresses school wide behavior supports
o
Yes
o
No
6B. Are you aware of any family members on that team?
o
Yes
o
No
7. Have you received any positive comments about your student's behavior from a teacher
or staff member?
o
Yes
o
No
8. Have you received any negative comments about your student's behavior from a
teacher or staff member?
o
Yes
o
No
9. Are you aware of a team in the school that addresses students' academic concerns?
o
Yes
o
No
10. Do you know if your student has participated in the Universal Screening (STARS
assessment) for academic skills?
o
Yes
o
No
11. Have you been informed about what happens when your student's teacher has
concerns about his/her academic skills?
o
Yes
o
No
12. If you have any comments about any of the above questions, use the space below.
Your help is very much appreciated. Thank you sincerely for helping to make Marinette
Middle School a better place for everyone, especially children.
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