Duration Measurement Page 7
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8F
A
S
T
(FAST)
UNCTIONAL
SSESSMENT
CREENING
OOL
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2
PAGE
OF
Name: __________________________________________
Age: __________________
Date: _________________
Behavior Problem: _____________________________________________________________________________________
Informant: _______________________________________
Interviewer: ______________________________________
To the Interviewer: The Functional Analysis Screening Tool (FAST) is designed to identify a number of factors that may influence
the occurrence of problem behaviors. It should be used only as an initial screening toll and as part of a comprehensive functional
assessment or analysis of problem behavior. The FAST should be administered to several individuals who interact with the person
frequently. Results should then be used as the basis for conducting direct observations in several different contexts to verify likely
behavioral functions, clarify ambiguous functions, and identify other relevant factors that may not have been included in this
instrument.
To the Informant: After completing the section on “Informant-Person Relationship,” read each of the numbered items carefully. If
a statement accurately describes the person’s behavior problem, circle “Yes.” If not, circle “No.” If the behavior problem consists of
either self-injurious behavior or “repetitive stereotyped behaviors,” begin with Part I. However, if the problem consists of
aggression or some other form of socially disruptive behavior , such as property destruction or tantrums, complete only Part II.
Informant-Person Relationship
Indicate your relationship to the person:
_____Parent _____Teacher/Instructor _____Therapist _____Other
How long have you known the person?
_____Years _____Months
Do you interact with the person on a daily basis?
_____Yes
_____No
If “Yes,” how many hours per day?__________ If “No,” how many hours per week? _________
In what situations do you typically observe the person? (Mark all that apply)
_____Self-care routines
_____Academic skills training
_____Meals
_____When (s)he has nothing to do
_____Leisure activities
_____Work/vocational training
_____Evenings
_____Other:___________________
Part I. Social Influences on Behavior
1.
The behavior usually occurs in your presence or in the presence of others
Yes
No
2.
The behavior usually occurs soon after you or others interact with him/her in some way, such as delivering
an instruction or reprimand, walking away from (ignoring) the him/her, taking away a “preferred” item,
Yes
No
requiring him/her to change activities, talking to someone else in his/her presence, etc.
3.
The behavior often is accompanied by other “emotional” responses, such as yelling or crying
Yes
No
Complete Part II if you answered “Yes” to item 1, 2, or 3. Skip Part II if you answered “No” to all three items in Part I.
Part II. Social Reinforcement
4.
The behavior often occurs when he/she has not received much attention
Yes
No
5.
When the behavior occurs, you or others usually respond by interacting with the him/her in some way (e.g.,
Yes
No
comforting statements, verbal correction or reprimand, response blocking, redirection)
6.
(S)he often engages in other annoying behaviors that produce attention
Yes
No
7.
(S)he frequently approaches you or others and/or initiates social interaction
Yes
No
8.
The behavior rarely occurs when you give him/her lots of attention
Yes
No
9.
The behavior often occurs when you take a particular item away from him/her or when you terminate a
Yes
No
preferred leisure activity (If “Yes,” identify:________________________________________________)
10.
The behavior often occurs when you inform the person that (s)he cannot have a certain item or cannot
Yes
No
engage in a particular activity. (If “Yes,” identify:___________________________________________)
11.
When the behavior occurs, you often respond by giving him/her a specific item, such as a favorite toy,
Yes
No
food, or some other item. (If “Yes,” identify:_______________________________________________)
12.
(S)he often engages in other annoying behaviors that produce access to preferred items or activities.
Yes
No
13.
The behavior rarely occurs during training activities or when you place other types of demands on him/her.
Yes
No
(If “Yes,” identify the activities: ____self-care
____academic
____work
____other)
14.
The behavior often occurs during training activities or when asked to complete tasks.
Yes
No
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