BIP Progress Monitoring Form
Document and track progress for students on a Behavior Intervention Plan.
Student Full Name
*
First Name
Last Name
Date of Monitoring
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Staff Member Completing Form
*
First Name
Last Name
Grade Level
*
Please Select
Kindergarten
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
6th Grade
7th Grade
8th Grade
Other
Target Behaviors Being Monitored
*
Disruptive behavior
Non-compliance
Aggression
Off-task behavior
Other
Intervention Strategies Used
*
Positive reinforcement
Prompting/cueing
Redirection
Breaks provided
Other
Progress Monitoring Table
Rows
Frequency
Intensity (1=low, 5=high)
Duration (minutes)
Disruptive behavior
Non-compliance
Aggression
Off-task behavior
Overall Progress Rating
*
1
2
3
4
5
Comments / Observations
Follow-up Actions or Recommendations
Parent/Guardian Contacted?
*
Yes
No
Submit Progress
Should be Empty: