Function Based Problem Solving Worksheet

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Teacher Input

Student Age

Student Grade Level

Strengths, Interests, and Resiliency Factors

Anecdotal Notes (include information about frequency, intensity, duration of behaviors if known)

Student's Preferred Reinforcers

The Behave-iator Developmental Continuum

Use these continuum tracks to match the plan to the student's current behavioral regulation, social connection, and pragmatic communication profile.

Behavioral Continuum Level

The Behave-iator Developmental Continuum: Behavioral Track

Typical grade-band anchors are approximate reference points for generally developing students and should be used as guideposts, not fixed expectations.

Level	Description	Typical Grade-Band Anchor

Social Continuum Level

The Behave-iator Developmental Continuum: Social Track

Typical grade-band anchors are approximate reference points for generally developing students and should be used as guideposts, not fixed expectations.

Level	Description	Typical Grade-Band Anchor

Pragmatic Communication Continuum Level

The Behave-iator Developmental Continuum: Pragmatic Communication Track

Typical grade-band anchors are approximate reference points for generally developing students and should be used as guideposts, not fixed expectations.

Level	Description	Typical Grade-Band Anchor

Add pertinent referral information?

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Co-Pilot Strategy Brainstorm

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Function Based Problem Solving Worksheet

Teacher Input

Co-Pilot Strategy Brainstorm

Function Hypothesis Statement:

Antecedent Strategies:

Short-term Replacement Behaviors:

Teaching Strategies for Short-Term Replacement Behaviors:

Reinforcement Strategies for Short-Term Replacement Behaviors:

Long-term Replacement Behaviors:

Response Strategies for Problem Behavior:

Monitoring and Plan for Review:

Your Assembled Worksheet