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Problem Behavior Questionnaire

The Problem Behavior Questionnaire is designed to assess the frequency and context of specific problem behaviors exhibited by students. It includes a scoring system to evaluate behaviors related to attention from peers, escape from peers and adults, gaining items or activities, and setting events. The questionnaire aims to identify patterns in behavior to inform interventions and support strategies.

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mohcsine06
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7 views3 pages

Problem Behavior Questionnaire

The Problem Behavior Questionnaire is designed to assess the frequency and context of specific problem behaviors exhibited by students. It includes a scoring system to evaluate behaviors related to attention from peers, escape from peers and adults, gaining items or activities, and setting events. The questionnaire aims to identify patterns in behavior to inform interventions and support strategies.

Uploaded by

mohcsine06
Copyright
© All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd

Problem Behavior Questionnaire

Student: Date:
School: Interviewer:
Grade: Age:
Problem Behavior: Respondent:

Directions:
Keeping in mind a typical episode of the problem behavior, place a mark in the corresponding
score column for each behavior.
0 1 2 3 4 5 6
Statement
(Never) (10%) (25%) (50%) (75%) (90%) (Always)
1 Does the problem
behavior occur and persist
when you make a request
to perform a task?
2 When the problem
behavior occurs do you
redirect the student to get
back to task or follow
rules?
3 Is the problem behavior
more likely to occur when
told that he/she cannot
do something that he/she
wanted to do?
4 During a conflict with
peers, if the student
engages in the problem
behavior, do peers leave
the student alone?
5 When the problem
behavior occurs, do peers
verbally respond or laugh
at the student?
6 Is the problem behavior
more likely to occur
following a conflict
outside of the classroom?
(e.g., bus write up)
7 Does the problem
behavior occur to get your
attention when you are
working with other
students?
8 Does the problem
behavior occur in the
presence of specific peers?
9 Is the problem behavior
more likely to continue to
occur throughout the day
following an earlier
episode?
10 Will the student engage in
the problem behavior if
the student is told he/she
cannot have a preferred
item or activity?
11 Does the problem
behavior occur during
specific academic
activities?
12 Does the problem
behavior stop when peers
stop interacting with the
student?
13 Does the behavior occur
when peers are attending
to other students?
14 If the student engages in
the problem behavior, do
you provide one-to-one
instruction to get the
student back on-task?
15 Will the student stop doing
the problem behavior if
you stop making requests
or end an academic
activity?
16 If the student engages in
the problem behavior, do
peers stop interacting with
the student?
17 Is the problem behavior
more likely to occur
following unscheduled
events or disruptions in
classroom routines?
18 Is the problem behavior
likely to occur if you take
away a preferred item or
activity?

Problem Behavior Questionnaire Profile


Directions: Write the score (0-6) given for each question from the scale above in the corresponding
statement number (in bold) below.

Attention from peers Escape from peers


Statement Number 5 8 13 Statement Number 4 12 16
Score (0-6) Score (0-6)
Total Score Total Score

Attention from peers Escape from adults


Statement Number 2 7 14 Statement Number 1 11 15
Score (0-6) Score (0-6)
Total Score Total Score

Gain item or activity Setting Events


Statement Number 3 10 18 Statement Number 6 9 17
Score (0-6) Score (0-6)
Total Score Total Score

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