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Staff-Managed Problem Behavior Form Overview

What is it?

The Staff-Managed Problem Behavioral Form is a Google Form that can be used by Multi-Tiered System

of Supports (MTSS) school leadership teams and administrators to track incidents of minor problem

behavior across all school environments. The Tennessee Multi-Tiered System of Supports Center (TN-

MTSS Center) Staff-Managed Problem Behavior Form is one option for collecting student behavioral

data that School Leadership Teams can use to support students and teachers in efforts to improve

location, time of day, behavior, monthly trends, referring staff, grade, action taken, others

behavioral data to inform their discussions.

• School staff members: Complete the Staff-Managed Problem Behavior Form when minor

problem behaviors occur, as defined by your school’s discipline flow chart or school or district

policy, in order to track student behavior and support students prior to formal office discipline

referral.

When should it occur?

Entry of student behavioral data is ongoing, and occurs daily as needed. When minor inappropriate

• To inform school-wide decisions regarding student behavior and MTSS nonacademic supports

implementation action planning

• To screen for behavior problems and/or monitor students’ behavioral progress

• To track inappropriate behavior

• To evaluate the overall effectiveness of MTSS implementation.

Staff-Managed Problem Behavior Form

TN-MTSS Center developed this form as a no-cost option for schools to enter and summarize student

behavioral data. Please reach out to TN-MTSS Center for further information on how to use the Staff-

Managed Problem Behavior Form.

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The Staff-Managed Problem Behavior (SMPB) Form was designed by Tennessee Multi-Tiered System of

Supports Center for use with Google Forms. The SMPB Form was developed to allow schools to enter

and summarize school-wide student behavioral data over time in an effort to document minor

behavioral infractions and reduce the use of formal Office Discipline Referrals (ODRs). Please contact TN-

MTSS Center for information on how to use the Staff-Managed Problem Behavior Form appropriately.

1. Access the SMPB Form through the following link. The SMPB form will copy to the Google

using a personal Google account for storing school-related data. Please check with your

building-level and district-level supervisors regarding questions related to storing data online

such as through your school’s Google drive. Use the following hyperlink to create a copy of the

TN-MTSS Center Staff-Managed Problem Behavior Form

use with your school, TN-MTSS Center strongly suggests collaborating with your school

personnel who are experienced Google Form users.

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3. The “Copy of Staff-Managed Problem Behavior Form” will appear in “edit mode” in a new tab

in your browser. From this screen you can edit and customize the form.

4. There are two additional ways to access the form.

a. Select Google Apps and scroll down from your Google home page to access Google

b. Or access your “My Drive”, then select the “Copy of Staff-Managed Problem Behavior

5. Once the form has been copied to a protected Google drive, such as a school FERPA–compliant

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Staff-managed Problem Behavior Form will be automatically saved to Google drive. A school

team can consider editing the form prior to sending out for staff use. You can edit the form by

clicking on an item and either editing text or deleting an item by clicking the “X”. For example,

team members from a K-6 school might want to delete grade levels 7-12 from the dropdown list

options.

will not give staff access to data or form editing capabilities. Select “Send Via link” then “Copy”

and paste into the body of a list serve email.

Using the Staff-Managed Problem Behavior Form

“Referring Staff Name” text entry box with a

dropdown list of staff names.

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to Summarize School-wide Data

1. Once responses have been recorded, select the “responses” tab via the Google Form edit page

to access data summary pie charts and bar graphs (see image below).

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Staff-Managed Problem Behavior Form

mobile device. See page 10 and 11 for instructions on how to create a SMPB form shortcut on

your smart phone desktop.

2. Access the SMPB form via your FERPA-compliant school/work email and using the link sent to

you by your school administrator. DO NOT use the SMPB form with your personal Google

account.

3. Open the form, then press and hold left mouse button to capture and drag the “lock icon” next

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4. The SMPB form is designed to be used in a time-efficient manner. Please complete each item

with sufficient detail to document minor problem behaviors. Thoroughly complete the form by

entering information into text boxes and making selections from dropdown menus. Information

requested includes:

a. Student name

i. When entering student names be consistent. If names are misspelled the

data will appear to represent different persons.

b. Student ID (if available)

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Staff-Managed Problem Behavior Form

Instructions for creating a smartphone or mobile device shortcut

iPhone Instructions:

1. Access the SMPB Form via offical FERPA-compliant school/work email from your iPhone. DO

NOT open the SMPB form from your personal g-mail account.

2. Select to “FILL OUT THE FORM”.

3. Then select to “SEND” the form to your desktop.

open the SMPB form from your personal g-mail account.

a “Desktop Site”.

4. Then “Add to Home screen”.