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FAST Funetional Analysis Screening Tool Chien, . Date, Informant Interviewer: To the Interrewer: The FAST Identifies Factors that may influence problem behaviors. Use it only for sereening as pact ofa comprehensive functional analysis of the behavior. Administer the FAST to several individuals who interact withthe clint frequently. ‘Then use the results to guide direct observation in several different situations to verify ‘suspected beliavioral functions and to identify other factors that may Influence the problem behavior. To the Informant? Complete the sections below. Then read each ‘question carefully and answver i by circling "Yes" of *No." Iyou are Uncertain about an answer, citcle "N/A." Informant-Cllent Reletonship [Indicate your relationship 0 the person: __Parent Instructor reraisiResidental Stat (Orhes) 2. How long have you known the peson? ——_Years Months 3, Do you interact withthe person daily? Yes No 4. Jn what situations do you usually interact withthe person? Meals Academic taining Leisure Work oF vocetiona training Zsetreare (Other) Problem Behavior Information | Problem betavior (cheek and deseribe): Aggression a lnjury T stereotypy SPropesty destruction Totter 2.Frequensy: —-Howly Daily Weekly __Less often 3, Severity: Mild: Disruptive but lie risk to property or heath Moderate: Property damage or minor injry Severe: Significant threat to health or safety 4, Situations in which the problem behavior is mast likely te occur: Days/ Fine Seltings/Actvities —_——_ Persons present 5. Siwatons in which ihe problem behavior is least Wikely © occur: Days/Times Sellngs/Actvities Persons present ‘6, What is usually happening (othe peron rahi heflace the problem behavior occurs? +7. What usually happens the peor behavior occurs? Here protien 8, Conon treater [Does the problem behavior ozcur whea the person is not recelving attention or when cotepivers ae pay atention to someone else? Does the problem behavior occur when the person's requests for preferred items oF tivities are denied or when these are taken away? ‘When the problem behavior occurs, do care vers usually try to calm the person down or Involve the person in preferred activites? 4s the person usually well behaved when (She Yes No NIA. is getting lots of attention or when prefered setivitos are freely available? Yer No Nik Yer No N/A Yer No NIA Does the person usualy fussor resist when Yes No NIA (Geis asked ta perform a task oF to participate in activities? 6, Dees the problem behavior occur when the Yes No NIA. porson is asked to perform a task orto patiipat in activities? Tete problem behavior occurs while asks axe Yes No NIA beng presented isthe person usually given a ™oneak from tasks? 8. Isthe person usualy well behaved when (She Yes No NIA. isnot required to do anything? 9. Docs the problem behavior oseur even when no Yes No NiA. ‘ones nearby or watching? 10. Docs the person engage inthe problem behavior Yes No NIA ‘oven when leisure aotivities see available? 11. Does the problem behavior appease bea form Yes No N/A ‘of clF-stirnlaton?” 12, e the problem behavior Iss likely occur Yes No NIA ‘when sensory stimolating sctivtles are presented? 13, ste problem behavior cyclical, cecurting for Yes No NIA several days and then stopping? 14, Does the person have recurring painfal Yes No N/A conditions such as er infetions oF allergies? 130s: 15.18 the problem behavior maze likely toccur Yes No NIA. ‘when the percon isl? 16. 1f the person i experiencing physical problems, Yes No NIA. and these are treated, does the problem behavior usualy go away? Scoring Summary Circle tne number of each question that was answered “Yes" and ‘enter the numberof items that were circled in the "Total" colon, ems Ciecled "Yes" Total Potential Source of Reinforcement 123 4 Social (atentionpreferred items) 5 6 1 & ____ Social (espe from tassfativites) 9 10 1 12 ___ Automatic (sensory stimulation) Bg Is 16 ‘Automatic (pain atenuation) ‘© 200 The Florida Center on SelE Injury

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