Behavior Ckecklist Revised - Free Download
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Behavior Checklist
Student Name: ___________________ Teacher _________________
Please list positive behaviors or behavior strengths that the student displays:
Please select frequency in which the following behaviors are displayed in
your classroom:
Almost Never
Occasionally
Frequently
Hyperactive:
Out of seat………………………………………………………….
Constant movement in desk………………………………………..
Can’t remain in line to and from classes…………………………...
Constant verbal behavior…………………………………………..
Has nervous muscle twitches, eye-blinking, nail-biting, etc. ……..
Withdrawn
Listless, tired……………………………………………………….
Seems generally unhappy………………………………………….
Stares blankly into space…………………………………………...
Rarely asks for assistance even when work is too difficult………..
Does not attempt work…………………………………………….
Apprehensive about committing self to a response………………..
Weeps or cries without provocation……………………………….
Avoids calling attention to self…………………………………….
source: interventioncentral.org
