Student Reflection
Form to be filled out by student before they reenter classroom.
Email address *
First name: *
Your answer
Last name: *
Your answer
Teacher *
Grade: *
What happened? *
Your answer
Did your response make the problem bigger or smaller? *
What were you thinking at the time? *
Your answer
What have you thought about since? *
Your answer
Who has been affected by what happened? How have they been affected? *
Your answer
How have you been affected by this? *
Your answer
What has been the hardest part about this for you? *
Your answer
What needs to happen to help make things right? *
Your answer
Here are some ways I could have helped make the problem smaller before it got this big: *
Required
Were you able to turn your day around?
What do you think should be the consequences for your actions?
Your answer
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