Step 2: PTR Functional Behavior Assessment Summary Table Student: ____________________________ School: ___________________________________ Date: _____________________ Behavior Antecedent (Prevent Data) Function (Teach) Data Consequences (Reinforce) Data behavior Problem behavior Appropriate Possible Hypotheses When…. He/she will….. As a result, he/she …… Problem Behavior Behavior Replacement
Step 2: PTR Functional Behavior Assessment Summary Table Student: ____________________________ School: ___________________________________ Date: _____________________ Behavior Antecedent (Prevent Data) Function (Teach) Data Consequences (Reinforce) Data Problem behavior Appropriate behavior Possible Hypotheses When…. He/she will….. As a result, he/she …… Problem Behavior Replacement Behavior
PTR-Assessment-Summary-Table.docx