Functional Assessment Form (Including Setting Event)
A-B-C Observation Form Date: ________________________
Student: ______________________________ Behaviour: ______________________________ Observer: _________________________________
Location Behaviour Setting Antecedent Behaviour Consequence Perceived
& Duration Event * (What happened prior (Describe) (What happened after the Function
Time to the behaviour) behaviour)
*Setting Event: e.g. Regular teacher out, substitute teacher covering.