The test-retest reliability of the University of Indianapolis School of Occupational Therapy Student Self-Assessment for Professional Behaviors was investigated. Twenty-seven first year and 31 second year students participated in the study. Results indicated that 31 (83.78%) of 37 academic questions answered by first year students were significant for test-retest reliability and 6 (16.22%) of 37 questions were not significant at alpha level 0.05. Of the 74 combined academic and clinical questions answered by second year students, 56 (75.68%) were significant for test-rest reliability and 18 (24.32%) were not significant at alpha level 0.05. To further examine results, 5 second year students participated in a focus group. Focus group results revealed themes regarding tool impressions, individual differences, and question display. Findings emphasized areas for revision to enhance test-retest reliability of the self-assessment tool.