

SURVEYS
SAMPLE SURVEY QUESTIONS FOR WHOLE SCHOOL POSITIVE BEHAVIOR INTERVENTION AND SUPPORT PROGRAMS
All questions will be rated in this manner: strongly disagree, disagree, agree,
strongly agree, don't know.
Principle: Creates a nurturing, caring, and positive school climate.
No questions. This principle is addressed by all the other principles.
Principle: Emphasizes positive reinforcement for students and staff.
Teacher statement:
- Staff are reinforced by verbal and tangible means when implementing the Positive Behavior Intervention and Support program.
Parent statement:
- Parents understand how students get rewards and praise when they follow school rules and expectations.
Student statement:
- Students get rewards and praise when they follow school rules and expectations.
Principle: Data driven, team-based planning and decision
making.
Teacher statement:
- Positive Behavior Intervention and Support Program decisions and plans are based on the school's behavior and discipline data.
Parent statement:
- Positive Behavior Intervention and Support Program decisions and plans are based on the school's behavior and discipline data.
Student statement:
- Student rules are made because of information about student behavior.
Principle: Ownership by administrators, teachers, students, parents and other
school staff.
Teacher statement:
- All staff are involved in the design of rules and reinforcements.
Parent statement:
- Parents are involved in the design of rules and reinforcements.
Student statement:
- Students are involved in the design of rules and reinforcements.Principle: Proactive, instructional, research and outcome based approaches.
Teacher statement:
- Universal rules prevent negative behavior and improve learning.
Parent statement:
- Universal rules prevent negative behavior and improve learning.
Student statement:
- The school uses school-wide rules which prevent negative behavior and improve learning.
Principle: Implemented for the entire school campus, the entire school day, 100%
of the students and 100% of the staff.
Teacher statement:
- The principles of the Positive Behavior Intervention and Support plan are implemented across all setting the entire school day.
Parent statement:
- When parents visit the school, they can observe that the principles of the Positive Behavior Intervention and Support plan are implemented across all setting the entire school day.
Student statement:
- Students see that the Positive Behavior Intervention and Support plan occurs all day.
Principle: Culturally sensitive, competent and relevant practices.
Teacher statement:
- At this school students are treated fairly and with respect regardless of race and language.
Parent statement:
- At this school students are treated fairly and with respect regardless of race and language.
Student statement:
- At this school students are treated fairly and with respect regardless of race and language.
Principle: Parents, students and community involved in planning, implementing
and evaluating.
Teacher statement:
- Students, parents and community agencies are involved in the development of the Positive Behavior Intervention and Support plan from the beginning to the end.
Parent statement:
- Students, parents and community agencies are involved in the development of the Positive Behavior Intervention and Support plan from the beginning to the end.
Student statement:
- Students, parents and people in the community are involved in rule and reward planning.
Principle: The school behavioral system provides a system of support from school
wide to individual.
Teacher statement:
- The Positive Behavior Intervention and Support plan contains programs for groups and individuals.
Parent statement:
- The Positive Behavior Intervention and Support plan contains programs for groups and individuals.
Student statement:
- The Positive Behavior Intervention and Support plan contains programs for groups and individuals.
Principle: Sensitive to individual child and family strengths and needs.
Teacher statement:
- The school staff has a method for identifying family strengths and utilizing them.
- The school staff has a method for identifying student strengths and utilizing them.
Possible Parent statement:
- The school utilizes the strengths available in the families.
- The school utilizes the strengths of students.
Student statement:
- The school staff knows your family.
- The school staff tells students what their strengths are.








