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Policy on Disruptive Social BehavioursPDF 27
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Policy on Disruptive Social Behaviours, Aitchison College
27
Annexe 4: Student Behaviour Progress (Monitoring Form)
Student's Name: __________________________________________ House: __________________________
Class & Section: __________________________________________
Starting Date: _______________________________ Ending Date: _________________________________
Reason for Monitoring
(Check all that apply or specify)
● Aggressive behaviour toward peers (e.g., hitting, pushing, verbal threats)
● Bullying behaviour (verbal, physical, cyber, or social exclusion)
● Other (please specify): _________________________________________________________________
Behaviour Categories
(Check observed behaviours)
● Verbal outbursts or insults
● Physical aggression (hitting, pushing, etc.)
● Defiance toward authority (e.g., refusing to follow instructions)
● Difficulty focusing or completing tasks
● Social withdrawal or isolation
● Bullying/teasing peers (verbal, physical, cyber, or social exclusion)
● Disrupting class activities (e.g., talking loudly, distracting others)
● Spreading rumors or gossip
● Damaging or stealing peers' belongings
● Other (please specify): _________________________________________________________________
Observation Frequency
∙ Daily
∙ Weekly
∙ Bi-weekly
∙ Other (please specify): ______________________________
Remarks/Observations
(Please focus on the student's behaviour, specifically with reference to the reason for monitoring and their
behaviour with peers)
_________________________________________________________________________________________
_________________________________________________________________________________________
Intervention Strategies Attempted
(List interventions and outcomes)
1. _______________________________________________________________________________________
Outcome: ________________________________________________________________________________
2._______________________________________________________________________________________
Outcome: ________________________________________________________________________________
3. _______________________________________________________________________________________
Outcome: ________________________________________________________________________________
Parent/Guardian Involvement