Forced-Choice Reinforcement Survey Template

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Forced-Choice Reinforcement Survey
Name:
In order to identify possible classroom reinforcers, it is important to go directly to the
source, namely, you the student. Below is a paragraph that provides instructions for
completing a series of "controlled choice" survey items about individual reinforcement
preferences. Please read the following paragraph carefully:
"Let’s suppose that you have worked hard on an assignment and you think
that you have done a super job on it. In thinking about a reward for your
effort, which one of the two things below would you most like to happen?
Please choose the one from each pair that you would like best and mark
and "X" in the blank that comes in front of it. Remember, mark only one
blank for each pair."
_____
Teacher writes "100" on your paper. (A)
1.
_____
Be first to finish your work. (CM)
_____
A bag of chips. (CN)
2.
_____
Classmates ask you to be on their team. (P)
_____
Be free to do what you like. (I)
3.
_____
Teacher writes "100" on your paper. (A)
_____
Classmates ask you to be on their team. (P)
4.
_____
Be first to finish your work. (CM)
_____
Be free to do what you like. (I)
5.
_____
A bag of chips. (CN)
_____
Teacher writes "100" on your paper. (A)
6.
_____
Classmates ask you to be on their team. (P)
_____
Be first to finish your work. (CM)
7.
_____
Be free to do what you like. (I)
_____
A bag of chips. (CN)
8.
_____
Teacher writes "100" on your paper. (A)
_____
Classmates ask you to be on their team. (P)
9.
_____
Be free to do what you like. (I)
_____
Be first to finish your work. (CM)
10.
_____
A bag of chips. (CN)
11.
_____
Teacher writes "A" on your paper. (A)

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