PBIS Walkthrough Summary Generator

PBIS Walkthrough Summary Generator
Date of Walkthrough*
MonthDayYear
Date
RESA*
Name of District*
If "Other" provide location (District/City/County)*
Name of School/Program (where walkthrough is being conducted)*
If "Other" provide name of program or school*
Name of Neutral Observer (person entering this summary report)*
First NameLast Name
Email of Neutral Observer (person entering this summary report)*
example@example.com
Title of Neutral Observer (person entering this summary report)*
GaDOE PBIS SpecialistRESA School Climate SpecialistPBIS District CoordinatorPBIS School Coach (from another school or district)Other
(Optional) Email of Additional Person to Receive the Summary by Email
example@example.com
Total Interviewed
How many total school staff members were interviewed?*
Must interview 10% or at least 5 staff members
How many total students were interviewed?*
Must interview at least 10 students
1.3 Behavioral Expectations
Five or fewer behavioral expectations with examples (rules) are in a school-wide matrix.*
YesNo
Which locations are on the school-wide matrix?*
Art RoomBathrooms/RestroomsBusBus Loading ZoneCafeteriaClassroomCommons/Common AreaComputer LabGymHallways/BreezewayLibrary/Media CenterLocker RoomMusic RoomOff CampusOfficeParking LotPlayground/Outside AreaSpecial Event/Assembly/Field TripStadiumVocational RoomNoneOther
Which locations had visible matrices posted that were specific to the setting? (i.e., all restrooms included a restroom specific matrix, hallway specific matrices were strategically placed in all hallways)*
Same as AboveArt RoomBathrooms/RestroomsBusBus Loading ZoneCafeteriaClassroomCommons/Common AreaComputer LabGymHallways/BreezewayLibrary/Media CenterLocker RoomMusic RoomOff CampusOfficeParking LotPlayground/Outside AreaSpecial Event/Assembly/Field TripStadiumVocational RoomNoneOther
Behavioral expectation examples (rules) are all positively stated (i.e., "walk" rather than "don't run")*
YesNo
How many staff members interviewed could list all or most of the expectations? (most = all but 1)*
Percent calculation
Goal = 90% or more
Based on this quick glance, how evident is the following: Five or fewer positively stated behavioral expectations and examples by setting/location for student and staff behaviors are posted AND at least 90% of staff can list at least 67% of the expectations (see percent calculation above).
Not Implemented (0)Partially Implemented (1)Fully Implemented (2)
1.4 Teaching Expectations
How many staff members interviewed stated that they had explicitly/formally taught all (school-wide & classroom) expectations this year using lesson plans?*
Percent calculation
How many students interviewed could list all or most of the expectations? (most = all but 1)*
Goal = 70% or more
Percent calculation
How many students interviewed could accurately describe what at least one expectation looks and sounds like? (i.e., "in the hallway we are respectful by keeping our hands to ourselves and keeping a level 1 voice tone which means only the people right next to me can hear me.")*
Percent calculation
Based on this quick glance, how evident is the following: Formal lesson plans and a written schedule exists that is used to teach expected academic and social behaviors directly to all students in classrooms and across other campus settings/locations (a product book check may help answer this question).
Not Implemented (0)Partially Implemented (1)Fully Implemented (2)
1.9 Feedback and Acknowledgement
How many staff members interviewed had acknowledged a student recently (within the past week)?*
Percent calculation
How many staff members interviewed could recall which expectation, where they were and what they acknowledged the student for?*
Percent calculation
How many students interviewed had been acknowledged recently (within the past week)?*
Percent calculation
How many students interviewed could recall which expectation, where they were and what they were doing to earn the acknowledgement?*
Percent calculation
How many students interviewed could explain the acknowledgement system? (i.e., how to earn acknowledgements, rewards, privileges, how the system works, what they can earn, how valuable it is to them, etc.)*
Percent calculation
Based on this quick glance, how evident is the following: A formal system (i.e., written set of procedures for specific behavior feedback that is used across settings and within classrooms) is in place and used by at least 90% of a sample of staff and received by at least 50% of a sample of students.
Not Implemented (0)Partially Implemented (1)Fully Implemented (2)
1.10 Faculty Involvement
How many staff members interviewed could recall seeing the school's discipline data?*
Percent calculation
How many staff members interviewed could tell you one thing about the data? (i.e., top behavior, top grade level, plan for addressing, etc.)*
Percent calculation
Based on this quick glance, how evident is the following: Faculty are shown school-wide data at least 4 times per year AND have taken the SAS within the past 12 months (product book check needed for SAS evidence).
Not Implemented (0)Partially Implemented (1)Fully Implemented (2)
Summary
Not Implemented (0), Partially (1), Fully (2)
1.3 Behavioral Expectations
Not Implemented (0) Partially (1) Fully (2)
1.4 Teaching Expectations
Not Implemented (0) Partially (1) Fully (2)
1.9 Feedback & Acknowledgement
Not Implemented (0) Partially (1) Fully (2)
1.10 Faculty Involvement
Not Implemented (0) Partially (1) Fully (2)
Areas of Strength
Areas in Need of Improvement
Should be Empty:

PBIS Walkthrough Summary Generator

Total Interviewed

1.3 Behavioral Expectations

1.4 Teaching Expectations

1.9 Feedback and Acknowledgement

1.10 Faculty Involvement

Summary