Curtis Classroom Self Check Behavior Form
Fill out the form below. Students in our class should remember to always Be Safe, Be Respectful, and Be Responsible!
Name: *
Your answer
Select the appropriate sentence(s) below. *
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Using complete sentences please describe the problem that caused you to be sent to fill out the Self Check Behavior Form. *
Your answer
Using complete sentences describe what was the setting that caused the behavior problem. *
Your answer
Why were your actions a problem? Include reasons why your behavior may have hurt yourself or others. Use full sentences to answer the question. Include the question as part of your answer. *
Your answer
How you can prevent or change this problem from being a problem in the future? Use full sentences to answer the question. Include the question as part of your answer. *
Your answer
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