RBT Competency Assessment Review Checklist
Complete this checklist to review and document the competency of the Registered Behavior Technician (RBT) being assessed.
RBT Full Name
*
First Name
Last Name
Assessor Full Name
*
First Name
Last Name
Assessment Date
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Assessment Type
*
Initial
Annual
Remedial
Other
Skill Area Ratings
*
Rows
Not Demonstrated
Partially Demonstrated
Demonstrated with Prompts
Demonstrated Independently
Measurement (e.g., data collection)
1
2
3
4
Assessment (e.g., preference assessments)
5
6
7
8
Skill Acquisition (e.g., teaching procedures)
9
10
11
12
Behavior Reduction (e.g., intervention strategies)
13
14
15
16
Documentation & Reporting
17
18
19
20
Professional Conduct & Scope of Practice
21
22
23
24
Communication Skills
*
1
2
3
4
5
Professionalism
*
1
2
3
4
5
Areas of Strength
Areas for Improvement
Recommendations or Next Steps
Assessor Signature
*
Submit Assessment
Submit Assessment
Should be Empty: