Student Risk Screening Scale (SRSS) &

Student Internalizing Behavior Screening Scale (SIBSS)

Teacher name:
0 = Never 921 indicates high risk
For the SRSS
1 = Occasionally 48 indicates moderate risk
and SIBBS
2 = Sometimes separately 03 indicates low risk
3 = Frequently
Use the above scale to rate each item for each student.

Student Risk Screening Scale (SRSS) Student Internalizing Behavior Screening Scale
Externalizing Behaviors (SIBSS)Internalizing Behaviors

Spends Time
Achievement

Achievement

about Being
Sick or Hurt
Aggressive

Nervous or
Lie, Cheat,

Withdrawn

Complains
Academic

Academic
Bullied by
Rejection

Unhappy
Behavior

Behavior
Negative
Problem
Student

Attitude

Fearful

Sad or
Sneak
Name

Peers

Alone
Total

Total
Steal

Peer

Low

Low