Please complete the information below so that we may create your survey. Once your survey is created, we will send your link, and then you can send it to your staff and/or students. If using the SPBD, we encourage you to send the survey to all staff, both certified and classified, who work directly with students.
You will receive your survey link via email within 1 day. If you fail to receive this link, please check your junk or spam folders.
Please provide your contact information. We will contact you using this information to provide your school's unique survey link and send you a report once the survey closes. You may exercise your right to be forgotten or request a copy of your data at any time by contacting us.
Please provide information about your school. If you have multiple schools, please fill out separate request forms for each school. Please do not use special characters (e.g., numbers, punctuation) in the name of your school. Also, note that your school name will be the title of your data report.
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."
If you have Schoolwide Evaluation Tool (SET) Benchmarks of Quality (BofQ), or Tiered Fidelity Inventory (TFI) scores within the past 12 months, please record them here.
SET Total & Domain Scores
A. Expectations Defined: (
B. Behavioral Expectations Taught: (
C. On-going System for Rewarding Behavioral Expectations: (
D. System for Responding to Behavioral Violations: (
E. Monitoring & Decision-making: (
F. Management: (
G. District-Level Support (
PBIS Team: (
Faculty Commitment: (
Effective Procedures for Dealing with Discipline: (
Data Entry & Analysis Plan Established: (
Expectations & Rules Developed: (
Reward/Recognition Program Established: (
Lesson Plans for Reaching Expectations/Rules: (
Implementation Plan: (
Classroom Systems: (
Evaluation: (
Benchmarks Score: (
Tiered Fidelity Inventory
Please enter the result percentage for each Tiered Fidelity Inventory tier:
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