Behavior Universal Rating Scale

Student Name:________________________________________ Grade:

Rater Name:__________________________________________ Date:
In your opinion, to what degree are the listed behaviors a problem for the student and/or
interfers with the student's abilitiy to function on a daily basis and/or ability to be successful
in school? Use the following scale and circle the appropriate number.
0 = Never exhibits the behavior
1 = Rarely exhibits the behavior so it is almost never a problem
2 = Sometimes exhibits the behavior so at times it is a problem
3 = Frequently exhibits the behavior so it often is a problem
4 = Consistently exhibits the behavior so it almost always is a problem

Put a check in the appropriate box for items with a score of 3 or 4.

SCORE OF
BEHAVIOR RATING
3 or 4

tly
times

isten
uentl
ly
r

Cons
Neve

Rare
Acting Out/Serious Misconduct (Disruptive Behavior)

Freq
Som

1 Is verbally aggressive towards others. 0 1 2 3 4 
2 Takes property from others without permission. 0 1 2 3 4 
3 Leaves the classroom without permission. 0 1 2 3 4 
4 Destroys or vandalizes property of others. 0 1 2 3 4 
5 Fails to tell the truth. 0 1 2 3 4 
6 Is physically aggressive towards others. 0 1 2 3 4 
7 Uses profane or obscene language. 0 1 2 3 4 
8 Avoids accepting responsibility for own behavior
(e.g., blames others). 0 1 2 3 4 
9 Is defiant toward authority. 0 1 2 3 4 
10 Is unable to manage anger in an acceptable manner. 0 1 2 3 4 

Noncompliance in the Classroom (Defiant Behavior)

1 Cheats on homework, quizzes, or tests. 0 1 2 3 4 
2 Leaves seat without permission. 0 1 2 3 4 
3 Is unable to work independently. 0 1 2 3 4 
4 Has difficulty accepting constructive criticism. 0 1 2 3 4 
5 Fails to complete assignments. 0 1 2 3 4 
6 Contributes little or nothing when working on group activities. 0 1 2 3 4 
7 Fails to follow classroom rules and procedures. 0 1 2 3 4 
8 Fails to comply with teacher instructions (e.g., whines when asked
to do something). 0 1 2 3 4 
9 Is unprepared for class (e.g., does not bring materials, books, and
supplies needed to class). 0 1 2 3 4 
10 Disrupts teaching and learning by talking excessively, bothering
others, and so on. 0 1 2 3 4 

Comments or other concerns:

1/2
 SCORE OF
BEHAVIOR RATING
3 or 4

tly
times

isten
uentl
ly
r

Cons
Neve

Rare
Poor Peer Relationships (Difficult Behaviors)

Freq
Som

1 Teases/bullies others. 0 1 2 3 4 
2 Is avoided and/or teased by peers. 0 1 2 3 4 
3 Has difficulty expressing feelings of friendship. 0 1 2 3 4 
4 Responds to teasing in inappropriate ways. 0 1 2 3 4 
5 Avoids joining peers in playing games or group activities. 0 1 2 3 4 
6 Teases or taunts others. 0 1 2 3 4 
7 Has difficulty laughing or joking with peers. 0 1 2 3 4 
8 Has difficulty expressing empathy for peers. 0 1 2 3 4 
9 Is rude to peers. 0 1 2 3 4 
10 Rejects offers of friendship from peers. 0 1 2 3 4 

Emotional Adjustment Problems (Difficult Behaviors)

1 Complains of aches, pains, or sickness. 0 1 2 3 4 
2 Resists going to school. 0 1 2 3 4 
3 Appears to be unhappy/depressed. 0 1 2 3 4 
4 Appears to be tense, worried, anxious or fearful. 0 1 2 3 4 
5 Talks pessimistically about the future. 0 1 2 3 4 
6 Appears to be either excessively restless or excessively lethargic. 0 1 2 3 4 
7 Shows little interest in most people or everyday events. 0 1 2 3 4 
8 Has difficulty concentrating. 0 1 2 3 4 
9 Has nervous habits or obsessive/compulsive behaviors. 0 1 2 3 4 
10 Avoids interactions with others. 0 1 2 3 4 

Indicate with a check (  ) if any of the following applies to this student:

1 Has been hospitalized in a mental health facility. 
2 Has been arrested and/or been in juvenile detention. 
4 Has diagnosis of mental health issues. 
5 Has been on runaway status. 
6 Has attempted suicide and/or has talked about suicide or death
wishes 
7 Has experienced a traumatic event. 
8 Has threatened to harm someone or wished someone harm. 
9 Has cursed school personnel 
10 Has experienced significant changes in attitude, activity
involvement, concentration or grades. 
11 Is involved in the court system 
12 Is in counseling 
13 Is on medication (Do not include medication for common physical
ailments, such as alllergies, sinus, etc.) 
14 Receives services from mental health agency. 

2/2