The document is a behavior reflection form for a student to fill out after an inappropriate behavior. It asks the student to describe the behavior, how often it occurs, why it was inappropriate, and what they will do differently in the future.
The document is a behavior reflection form for a student to fill out after an inappropriate behavior. It asks the student to describe the behavior, how often it occurs, why it was inappropriate, and what they will do differently in the future.
Please answer in complete sentences using your best writing. 1. What did I do? ______________________________________________________________________ ______________________________________________________________________ ______________________________________________________________________ 2. How often does this happen? Circle one. very often
sometimes
rarely
3. Why was this inappropriate? What problems did it cause?
______________________________________________________________________ ______________________________________________________________________ ______________________________________________________________________ 4. Two things I will do differently next time to help me are the following: ______________________________________________________________________ ______________________________________________________________________ Teacher Signature: ___________________________________________________________ Teacher Comments (optional): __________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ Parent Signature: ____________________________________________________________ Parent Comments (optional): ___________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ Teacher Created Resources, Inc.