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Name Week: March 04 – 08, 2019

Behaviour Checklist
Review your social and work behaviour in class at the end of each class. Put a check mark in the appropriate box.

1: Strongly agree, 2: Agree, 3: Neither agree nor disagree, 4: Disagree, 5: Strongly disagree

Day Behaviour Goal Self-assessment Class Work Goal Self-assessment Sign


1 2 3 4 5 1 2 3 4 5
Raised my hand to talk Followed directions
Monday

Had a good attitude Stayed on task


Worked hard Completed my work
Sat nicely on my chair Participated in class
Used materials
Paid attention
correctly
Worked well with
Was nice to others
others
Raised my hand to talk Followed directions
Tuesday

Had a good attitude Stayed on task


Worked hard Completed my work
Sat nicely on my chair Participated in class
Used materials
Paid attention
correctly
Worked well with
Was nice to others
others
Raised my hand to talk Followed directions
Wednesday

Had a good attitude Stayed on task


Worked hard Completed my work
Sat nicely on my chair Participated in class
Used materials
Paid attention
correctly
Worked well with
Was nice to others
others
Raised my hand to talk Followed directions
Thursday

Had a good attitude Stayed on task


Worked hard Completed my work
Sat nicely on my chair Participated in class
Used materials
Paid attention
correctly
Worked well with
Was nice to others
others
Raised my hand to talk Followed directions
Had a good attitude Stayed on task
Friday

Worked hard Completed my work


Sat nicely on my chair Participated in class
Used materials
Paid attention
correctly
Worked well with
Was nice to others
others

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