PBIS REWARDS QUESTIONNAIRE

Staff
Evaluat Positio
or: PAUL BALOUKAS n:
Subjec
ts
Taught
:
Date

Please answer the following questions as openly and directly as

possible. The following data will be used to gather insight and
information towards the effectiveness of the PBIS rewards program at
SUMMIT SCHOOL. REMINDER This questionnaire is to filled
anonymously and sent back directly to the sender email.

1. Do you feel the PBIS Rewards program is helping reduce disruptive

behaviors in the classroom? If yes, why? If no, why not?
________________________________________________________________________________________________
________________________________________________________________________________________________
________________________________________________________________________________________________
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2. How often are you using the rewards program?

A) At the end of each class

B) At the end of each day

C) Once a week

D) Other (Please specify)

________________________________________________________________________

3. Do students respond in a positive manner when you reward their

behavior?

A) Yes

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B) No

C) Other (Please specifiy)

________________________________________________________________________
________________________________________________________________________

4)

SAMPLE QUESTIONNAIRE TO BE COMPLETED AT A LATER DATE

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