Wisconsin School Threat Assessment and Management Protocol (WSTAMP)

ONGOING MONITORING SURVEY

Please respond to the following questions regarding the identified student. This survey will provide an update about the student’s progress and current functioning as well as identify any ongoing needs related to monitoring their Intervention and Support Plan (ISP).

Student Name

Date

Staff/Role

1. Do you have any current concerns in the areas of harm/violence (i.e., making threats, drawings or writings that include violence or weapons)? If so, please specify.

2. Do you have any concerns regarding this student’s classroom functioning currently (i.e., academic performance, attendance)? Is the student meeting the instructional demands of the classroom? Are specific accommodations or supports being provided?

3. Do you have any current concerns regarding the student’s mood (i.e., sullen depressed, angry)?

4. Describe the student’s social and peer interactions currently.

5. Do you feel that the student’s current supports and restrictions are sufficient to keep them and others safe? Are they complying with set limitations? If no, please explain.

6. Is there anything else that you want us to know?

ONGOING MONITORING SURVEY

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