Behavior Interview and Reinforcement Survey

Behave Yourself! 2009 Solution Tree to download this Interview and Reinforcement SurveyStudent Name _____ Grade ____ Birthdate _____Person Facilitating the Interview _____ Date of Interview _____Section 1 Ask the student the following questions and circle the appropriate In general, is your work too hard for you? Always Sometimes Never2. In general, is your work too easy for you? Always Sometimes Never3. When you ask for help appropriately, do you get it? Always Sometimes Never4. Do you think work periods for each subject are too long? Always Sometimes Never5. Do you think work periods for each subject are too short? Always Sometimes Never6. When you work at your desk, do you do better when Always Sometimes Never someone works with you?7. Do you think people notice when you do a good job? Always Sometimes Never8. Do you think you get the points or rewards you deserve Always Sometimes Never when you do good work?

Getting a good note sent home Other (Specify) _____ Teaching things to other people Being the teacher’s helper Spending time with friends ... Playing a musical instrument Watching TV Cooking Building models Woodworking and carpentry

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