FBA. ILI. Parent Questionnaire.



An Initial Line of Inquiry (ILI) is used to collect information for a Functional Behavior Assessment (FBA) I've had many parents request an online or electronic version of the questionnaire that I send home for a behavior assessment. Here you go!


Every behavior has a purpose or function for it, usually to either get something or avoid something. Examples: You begin to talk on the phone and your child starts calling you over and over.  The function of this behavior would be to get your attention.  Or a student repeatedly disrupts the class when the teacher asks them to take out their math books.  He is then reprimanded and sent out of the room.  The function of this behavior could be to avoid the classwork.

So, a functional behavior assessment or FBA is a series of structured questions designed to discover the reasons behind certain target behaviors (usually undesirable ones) and develop a behavior plan designed especially for your child/student to lessen these target behaviors and allow him/her to get positively more of what he/she wants.

Slow triggers are events, circumstances, or conditions that contribute to the undesirable or target behaviors that occur at a time NOT immediately preceding the undesirable behaviors.
Examples: Too little sleep, taking medications, asthma, conflicts with parents/girlfriend/ boyfriend/teachers, being homeless, death in the family, divorce, etc.

Fast triggers are events or circumstances that occur closer to or immediately before the target behavior.
Examples: One student gives another stink-eye, teases or says something mean about the other.  A student is jostled by another or even ignored.  The teacher announces a pop quiz.

Behavior Support Plan: a model to change behavior and encourage more desirable behaviors and lessen target behaviors.  It can be in place both at home and at school.

ConsequencesResults of a certain behavior either naturally occurring or delivered by school personnel or parents.  Can be both positive and negative.  Reactions of peers can also be consequences of behavior.



Please answer the following questions…

(1)   What are the student’s strengths?

(2)  What activities or rewards motivate this student?  What are the student’s interests?

(3)  What are the student’s work habits when completing homework/studying?

(4a)   What behaviors do you want to see less of? (Problem/Target behaviors)

(4b)     How frequently do these behaviors occur?

(4c) What is the intensity and severity of the behaviors (e.g., mild, moderate, severe) – how much do they interfere with the student’s learning or the learning of others?

(5)   When do these behaviors occur (Fast Triggers)? (e.g., what is happening just prior to the behavior)

(6) Do you notice anything (events, circumstances, conditions) that contribute to the behavior but don’t occur immediately prior to the behavior (Slow Triggers)?

(7)  What happens after the behavior occurs (Actual Consequences)?  (Your actions and the actions of peers)

(8)     What do you feel may be the functions of the behaviors (Perceived Functions)? (i.e., what may your child be getting, avoiding, or escaping by engaging in the behaviors – get attention, avoid work, get release of tension, etc.)

(9)      What behaviors do you want to see more of?

(10)     What activities or rewards motivate this student?  What are the student’s interests?

(11)     What’s working for this student?

(12)      Any other comments…


 Email: kelstaylor@gmail.com or Lotus Notes. 

Comments

  1. Aloha- you mentioned that many parents are requesting an online version of this. Is there now one available? I found it helpful and wonder how many parents are actually using this form? Hawaii Psychologist

    ReplyDelete

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