PBIS Tier 2 Check-In/Check-Out Daily Progress Report

This template is designed for students receiving Tier 2 CICO support under a PBIS framework. It is typically used by a DRI such as a counselor, behavior specialist, or designated staff member, with input from classroom teachers. The goal is to keep feedback consistent across the school day without turning every interaction into a separate intervention.

It covers the daily CICO workflow: morning check-in, period-by-period goal monitoring, afternoon check-out, and data logging. It does not replace a full behavior intervention plan, safety plan, or disciplinary record. If the student needs crisis response, intensive individualized supports, or formal incident documentation, use a different process alongside this report.

This is a recurring daily task, usually completed on every school day the student is on CICO support. The recurrence should match the school calendar and the student's support schedule, including any days when the student is off campus or in a modified program. Missing days should be marked clearly so the data stays interpretable.

The biggest pitfall is making the ratings too subjective, such as using vague comments instead of clear goal criteria. Another common issue is skipping the afternoon check-out, which breaks the feedback loop and weakens the data. Schools also sometimes overuse critical flags for routine concerns, which makes it harder to separate normal coaching from blocking issues that need follow-up.

Each checklist item should be independently verifiable with a clear yes, no, or N/A answer. Staff should score based on the student's observable behavior during the period, not on assumptions about intent. If a goal is not applicable during a class or activity, mark it N/A rather than forcing a score that distorts the record.

Yes. You can tailor the goal language, the number of class periods, the rating scale, and the check-out notes to fit elementary, middle, or high school settings. Keep the items atomic and behavior-specific so the report still produces useful trend data after customization.

This template can be used alongside student information systems, behavior tracking tools, or shared staff workflows if your process supports exporting or linking daily data. It is especially useful when the same report needs to be reviewed by multiple staff members, since the structure keeps the day's observations in one place. If you integrate it, preserve the original daily sequence so the morning-to-afternoon flow stays intact.

Start with a small group of students and a limited set of goals so staff can learn the scoring pattern before expanding. Train teachers on what counts as blocking versus non-blocking behavior and who owns each handoff. Review the first week of reports quickly so you can adjust wording, timing, or the number of items before the process becomes routine.

Yes, when the school needs consistent documentation and trend review. Informal check-ins can be helpful, but they are easy to forget and hard to compare across days or staff members. This template turns the support into a repeatable daily record, which makes it easier to see whether the intervention is actually working.