Request Survey Please complete the information below so that we may create your survey... We currently offer three surveys: The Staff Perceptions of Behavior and Discipline (SPBD) More Information The Student Perceptions of Behavior and Discipline (StPBD) More Information Mini Student Perceptions of Behavior and Discipline (Mini-StPBD) More Information The Family Perceptions of Behavior and Discipline (FPBD) More Information Which type of survey would you like to create? SPBD StPBD Mini StPBD FPBD Please select at least one survey type. Please provide your contact information... First Name Last Name Email Address Please provide information about your school... 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Student Perceptions of Behavior & Discipline Desired Survey Close Date Please note that you can change this date using the link that will be sent to you (as the survey requestor) via email. Family Perceptions of Behavior & Discipline Desired Survey Close Date Please note that you can change this date using the link that will be sent to you (as the survey requestor) via email. Staff Information Tell us how many staff work with students in your school. Precise numbers are best for determining response rates; however, if you do not have access to them, please provide your best estimate. Certificated staff (e.g., teachers, counselors, school psychologists) Classified staff who work directly with students (e.g., paraeducators, librarians, playground supervisors) Student Information Tell us how many students attend your school. Precise numbers are best for determining response rates; however, if you do not have access to them, please provide your best estimate. Student Count Schoolwide Expectations What is the name for your schoolwide expectations? Be sure to list the language that students would be most likely to recognize. For example, Seaside Middle School's mascot is the Dolphins. They refer to their schoolwide behavioral expectations as The Dolphins Way. Questions about schoolwide expectations in their student survey will appear as follows: What are The Dolphins Way expectations? Someone taught me The Dolphins Way expectations. The Dolphins Way expectations are posted in my classroom. Acknowledgement System What is the name for your acknowledgement system? This refers to the agreed-upon schoolwide acknowledgement or reward system that is part of schoolwide positive behavior supports, such as "Bronco Bucks," "Pride Tickets," or "Gold Stars". Questions about the acknowledgement system will include the verbatim text entered here. For example, "I like getting acknowledged with Bronco Bucks." How many years has your school been implementing PBIS? To what degree is your school implementing schoolwide positive behavior supports (SWPBS)? Planning for implementationImplementing some components, but not allFully implementing How did you hear about the SPBD? ColleagueConferenceResearch paperWeb searchOther Optional: Please provide other information related to PBIS implementation in your school, including what you use to assess implementation, as applicable (e.g., Tiered Fidelity Inventory/TFI, Schoolwide Evaluation Tool/SET). Optional: Share additional information about how you intend to use your survey information and/or implementation challenges you’re experiencing or anticipate experiencing I acknowledge that data gathered by my school may be used to validate the technical properties of the SPBD / StPBD and used to study its application in schools. I undertand that the identity of my school district and school will not be revealed in this process. Additionally I authorize spbdsupport.com to send me emails at the address entered on this form to facilitate my use of the survey. Send Request