Think Time Reflection Sheet

Classroom Teacher Initials: _______ TT Teacher Initials: ________

Time: __________ Time: _______

Student: _______________________________

What is today’s date? ______________________

How many times have you been sent to a Think Time classroom this week? _________

What did you do? _______________________________________________________

______________________________________________________________________

Why are you in trouble?

_____I wanted attention from others.

_____I wanted to be in control of the situation.

_____I wanted to challenge the teacher’s authority.

_____I wanted to avoid doing my schoolwork.

_____I wanted to be funny.

_____I don’t know what I’m supposed to be doing.

_____I was not prepared for class.

_____Other: ___________________________________________________________

How did your behavior affect you?

______________________________________________________________________

How did your behavior affect the teacher and the other students?

______________________________________________________________________

Why is this kind of behavior unacceptable?

______________________________________________________________________

Name two things you are going to do to improve your behavior.

1. ____________________________________________________________________

2. ____________________________________________________________________

If I do not solve the problem, I will choose these consequences, which I feel, will help me make better choices:

1. ____________________________________________________________________

2. ____________________________________________________________________

I understand the classroom rules and the discipline plan I need to follow. I will honor it while being a member of this team.

Signature______________________________

Parent/Guardian Contacted____________________________ Time___________

Notes: