Submit Assessments Online
Universal Assessments
There are several checklists and instruments that are helpful in assessing the status of planning and implementation of schoolwide PBIS. These assessments are particularly useful for developing action plans and for gauging progress.
To submit online, click on the survey name link. If you do not recall the required password, please contact Valarie Dumont. You may view or print blank copies of all checklists and assessment instruments to the right.
Collaborative Team Checklist (for Universal Team)
-- Submitted twice per year, on September 15 and March 15Universal Team Implementation Checklist (2.2)
-- Submitted twice per year, on September 15 and March 15Rollout Checklist
-- Submitted twice per year, on September 15 and March 15Family Engagement Checklist
-- Submitted twice per year, on September 15 and March 15EBS (Effective Behavior Support) survey
-- Completed by all faculty and staff online once each year in March or April.
Finally, the Schoolwide Evaluation Tool, or SET, is conducted annually in the spring by an outside evaluator.
The regular completion and review of these checklists and assessments will help guide the universal team, the faculty and the administration toward areas needing further attention or developments in the PBIS effort.
Targeted Assessments
There are five assessment instruments to help establish priorities and gauge progress on targeted interventions. These include:
Collaborative Team Checklist, Targeted Team
-- Due twice per year, October 1 and April 1Cohorts 4 and 5 - Targeted Team Self-Assessment, Part 1
-- Due twice per year, October 1 and April 1Cohorts 4 and 5 - Targeted Team Self-Assessment, Part 2
-- Due twice per year, October 1 and April 1Targeted Intervention Questionnaire
-- Due once per year, July 1FBA/BSP Fidelity Checklist
-- Self-assessment completed on first two complete FBA/BSP documents
-- External quality assessment done annually by outside evaluator
Checklist and Assessment docs
Universal Team Checklists
- Checklist Collaborative Team (Word Document (doc) · 183.5 KB)
- Checklist Universal Team Implementation (Word Document (doc) · 83.0 KB)
- Checklist Family Engagement (Word Document (doc) · 110.5 KB)
- Checklist Rollout (Word Document (doc) · 108.0 KB)
- Classroom Management Self-Assessment (Acrobat File (pdf) · 756.1 KB)
- Non-Classroom Management Self-Assessment (Acrobat File (pdf) · 525.8 KB)
- Evaluating Schoolwide Recognition Plans (Word Document (doc) · 86.5 KB)
- Evaluating Schoolwide Teaching Plans (Word Document (doc) · 93.5 KB)
Assessments
- Completing the EBS and Other Online Surveys (Word Document (doc) · 31.5 KB)
- Overview of the SET (Word Document (doc) · 32.0 KB)
- Benchmarks Scoring Form (Acrobat File (pdf) · 50.6 KB)
- Benchmarks Team Member Rating (Acrobat File (pdf) · 36.2 KB)
- Benchmarks Scoring Guide (Acrobat File (pdf) · 52.4 KB)
Targeted Team Checklists
- Checklist Collaborative Team (Word Document (doc) · 183.5 KB)
- Checklist Targeted Team Part 1 (Word Document (doc) · 121.5 KB)
- Checklist Targeted Team Part 2 (Word Document (doc) · 119.0 KB)
- Targeted Intervention Questionnaire (Word Document (doc) · 71.0 KB)
- Functional Assesssment Checklist for Teachers and Staff (FACTS) Part A (Word Document (doc) · 30.0 KB)
- Functional Assesssment Checklist for Teachers and Staff (FACTS) Part B (Word Document (doc) · 31.0 KB)
- Checklist FBA-BSP Fidelity (Word Document (doc) · 66.0 KB)
- Steps in Creating a Behavior Support Plan (Word Document (doc) · 83.0 KB)
- Functional Behavioral Assessment and Behavior Support Plan Worksheet (Word Document (doc) · 75.5 KB)
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