PBIS Vermont Resources Family Engagement Surveys Scoring ...



VT Positive Behavioral Interventions & Supports (VTPBiS)

Family Engagement Scoring Form:

Family Version 1.0 & School Leadership Team Version 1.0

Once all surveys are collected, you’ll need to score each question using the following criteria: 0 = NO and 1 = YES. It is highly recommended that you obtain a minimum of 15 surveys from families and enter the average score for each question in the appropriate column.

| |School Leadership |Family Score | |

| |Team Score: |(Avg.): | |

|Survey Questions: |0 = NO | |Resources for |

| |1 = YES |0 = NO |Schools and Families |

| | |1 = YES | |

| | | | |

|All families have received information about PBIS | | |VTPBiS Family Engagement Online |

| | | |Learning Modules |

| | | | |

| | | |PBIS at School-Information for |

| | | |Families (brochures, family |

| | | |guides to PBIS, power point |

| | | |presentations, student parent |

| | | |handbooks, etc…) |

| | | | |

| | | |PBIS at Home – Information for |

| | | |Families (Home/School PBIS Plans,|

| | | |PBIS Home Learning Matrix, Tips |

| | | |for Behavior at Home, etc.) |

| | | | |

| | | |Practical Functional Behavior |

| | | |Analysis for Families (Learning |

| | | |Modules, articles, etc.) |

| | | | |

| | | |Family Members on PBIS Leadership|

| | | |Teams (Selecting/Retraining |

| | | |Parents, Skills for Parents, |

| | | |etc.) |

| | | | |

|The school has shared school-wide expectations and families know what they are | | | |

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|The school has shared information about using PBIS at home | | | |

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|The school has shared positive comments about student with families | | | |

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|The school has shared Information about how students are rewarded for following | | | |

|school-wide expectations at school | | | |

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|The school has shared with families that there is a Team in the school that | | | |

|addresses school-wide behavioral supports | | | |

| | | | |

|The school include family members on the school-wide behavioral support team | | | |

|TOTALS: | ⁄ 7 | ⁄ 7 | |

VT Positive Behavioral Interventions & Supports (VTPBiS)

Family Engagement Action Plan:

Family Version 1.0 & School Leadership Team Version 1.0

As a leadership team, identify areas of discrepancies between the school’s perception and family’s perception about PBIS in your school. Use the following template to identify areas of Strength and areas in Need of Improvement.

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|Strengths: |

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|1. |

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|2. |

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|3. |

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|4. |

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|Areas in Need of Improvement: |Who: |When: |Status Update: |

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|1. | | | |

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|2. | | | |

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|3. | | | |

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|4. | | | |

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|Other thoughts/ideas: |

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