School-Wide Behavior Survey
Predicting Problem Behavior
School Name:
Administrator
Date:
Teacher
Classified Staff
Specialist
Parent
Use your experience in the school to answer each of the following questions. Your
responses will help us to determine what actions to take in terms of facilitating a safe
and effective school environment.
1. List the most frequent problem behaviors that you observe or respond to while at school.
1.
2.
3.
4.
5.
2. At what times of the day do you most frequently observe problem behaviors while at school?
• Why do you think problems are more frequent at these times?
• What solutions can you think of that might prevent these problems at these times?
Terrance M. Scott, 1999
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3. Are there specific types of days (e.g., before vacations, holidays, etc.) or activities (e.g.,
assemblies, field trips, etc.) in which you see more problem behaviors?
Condition:
Problem behaviors:
• Why do you think problems are more frequent under these conditions?
• What solutions can you think of that might prevent these problems under these conditions?
Condition:
Problem behaviors:
• Why do you think problems are more frequent under these conditions?
• What solutions can you think of that might prevent these problems under these conditions?
Condition:
Problem behaviors:
• Why do you think problems are more frequent under these conditions?
• What solutions can you think of that might prevent these problems under these conditions?
Terrance M. Scott, 1999
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4. In what specific school locations do you most frequently observe problem behaviors while at
school?
1.
2.
3.
4.
5.
• Why do you think problems are more frequent in these locations?
• What solutions can you think of that might prevent these problems in these locations?
5. Are you aware of any school-wide rules that are taught to all students? (please list)
6. What specific behaviors warrant your sending a student to the principal or other disciplinary
setting?
• How often do you send students to the principal or other disciplinary setting?
• What is the most common reason for your sending a student to the principal or other
disciplinary setting?
Terrance M. Scott, 1999