""
Forms to Support a Child with Challenging Behaviors

Your Path: Circle of Inclusion Home Page ""Materials""Forms Index""Forms to Support a Chid with Challenging Behaviors

Click the title to get a description of a form and citation, or click the PDF/Word icon to directly download the file:

Form Title PDF Word
Behavior Log PDF icon Word icon
Behavior Intervention Program: Blank PDF icon Word icon
Behavior Intervention Program: Sample PDF icon  
Environmental and Curricular Checklist PDF icon Word icon
Social Skills Training PDF icon Word icon
Problem Behavior Analysis PDF icon Word icon

You need Acrobat to view PDF files. You can download Free Acrobat here Get Acrobat Reader


Behavior Log PDF icon Word icon


A sheet to record data related to a child’s challenging behavior. It includes time of occurrence, duration, antecedent condition, and other comments that may guide a hypothesis about the function of the behavior.

Go Back to the Top


Behavior Intervention Program (PDF icon Word iconBlank / PDF icon Sample)


An example of an intervention program for a child’s challenging behaviors. It contains a definition of the behavior and the criteria of the desired outcome, as well as a description of the specific procedure to be used.

Go Back to the Top


Environmental and Curricular Checklist PDF icon Word icon


This checklist contains 13 hints to support the child’s usage of more appropriate behaviors by adapting environmental, curriculum, and instructional aspects in the classroom.

Go Back to the Top


Social Skills Training PDF icon Word icon


An outline of a "7-step social skills training protocol" to follow when planning a program for a child with challenging behaviors.

Go Back to the Top



All of the forms above are from:


Keating, J. (1997). Supporting chidlren with challenging behaviors. In J. Bates, & J. Keating, The Preschool Inclusion Manual. Unpublished master’s thesis, University of Kansas, Lawrence, KS.


Problem Behavior Analysis PDF icon Word icon


A set of questions that will guide you to seek possible causes or factors which may be reasons a child behaves in a certain way in the classroom.

Go Back to the Top

Your Path: Circle of Inclusion Home Page ""Materials""Forms Index""Forms to Support a Chid with Challenging Behaviors
Copyright © 2002, University of Kansas, Circle of Inclusion Project. Permission for reproduction of these materials for non-profit use with proper citation is granted. Please send your comments and questions to questions@circleofinclusion.org