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Student Behavior Survey Form Template

Gain insights into student opinions and behaviors

Understanding student behavior can be tricky, but gathering insights about their experiences is essential for fostering a positive learning environment. This template helps educators like you easily create a student behavior survey that gathers honest feedback and evaluations from your students. With this tool, you can identify patterns of behavior, understand perspectives on school culture, and address any areas needing improvement-all while ensuring your survey is user-friendly and WCAG-aligned for accessibility. Start exploring our live template today, and take the first step toward a thriving educational atmosphere.

Student full name
Grade level
Please Specify:
Class or subject
Date of observation
Observation setting
Classroom
Hallway
Cafeteria
Playground
Bus
Online/Virtual
Other
Please Specify:
Observation period
Morning
Midday
Afternoon
After school
Multiple periods
Other
Please Specify:
Follows directions without repeated prompts
Never
Rarely
Sometimes
Often
Always
Stays on task during work time
Never
Rarely
Sometimes
Often
Always
Completes assigned work during the period
Never
Rarely
Sometimes
Often
Always
Calls out or interrupts instruction
Never
Rarely
Sometimes
Often
Always
Interacts respectfully with peers
Never
Rarely
Sometimes
Often
Always
Manages frustration appropriately
Never
Rarely
Sometimes
Often
Always
Keeps hands and feet to self
Never
Rarely
Sometimes
Often
Always
Transitions between activities smoothly
Never
Rarely
Sometimes
Often
Always
Starts tasks promptly after instructions
Never
Rarely
Sometimes
Often
Always
Organizes materials and belongings
Never
Rarely
Sometimes
Often
Always
Supports or strategies used today
Please Specify:
Any incident requiring office referral today?
Yes
No
Overall classroom behavior today
Poor
Fair
Good
Very good
Excellent
Behavior compared with last week
Much worse
Slightly worse
About the same
Slightly improved
Much improved
Not applicable
Observer full name
Contact home recommended
Yes
No
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Colorful paper art illustration representing a student behavior survey form for FormCreatorAI article

When to use this form

When you need a quick pulse on behavior patterns across classes or times of day, use this form. Teachers, counselors, and deans can capture consistent notes after incidents, peer conflicts, or off-task periods. It helps you see frequency, context, and impact so you can match supports to need. Pair your entries with a Classroom observation form to add objective notes, or connect findings to a Functional behavior assessment form when behavior is persistent. Use it during re-entry after a suspension, before a parent conference, or to monitor an intervention plan over 4-6 weeks. The result: clearer data, fewer assumptions, and faster decisions about supports, supervision, or referral.

Must Ask Student Behavior Survey Questions

  1. In which settings and at what times do you most often notice the behavior?

    Knowing the setting, time, and activity reveals patterns you can change, like transitions or unstructured spaces. It helps you tailor supports to the context instead of applying a one-size-fits-all plan.

  2. How often did this behavior occur in the past two weeks?

    Frequency gives you a baseline and shows whether an intervention works over time. Concrete counts prevent decisions based on the most recent or most dramatic incident.

  3. What usually happens right before and right after the behavior?

    Antecedents and consequences point to triggers and payoffs that keep the behavior going. This guides practical adjustments to prompts, tasks, seating, or reinforcement.

  4. Which strategies or supports have reduced the behavior, even a little?

    Documenting what has helped avoids repeating strategies that failed and scales tactics that worked. It also supports team alignment and smooth handoffs between classes.

  5. Does the behavior impact safety, learning, or peer relationships, and to what extent?

    Impact and severity determine urgency and the right next step. Safety concerns may require a Discipline referral form, while ongoing needs can be flagged through a Student of concern form.

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