First Try: #_____ (circle one)
1. Are we listening to each other? YES NO
2. Are we following the plan? YES NO
3. Is the plan working? YES NO
If you circled "No" for questions 1, 2 or 3, you have a problem that needs to be solved before continuing.
4. Can we improve the plan? YES NO
After completing this form, please check with the teacher.
___________________________________________________
Second Try: #_____ (circle one)
1. Are we listening to each other? YES NO
2. Are we following the plan? YES NO
3. Is the plan working? YES NO
If you circled "No"for questions 1, 2 or 3, you have a problem that needs to be solved before continuing.
4. Can we improve the plan? YES NO
After completing this form, please check with the teacher.
Click here to see our Evaluation Scale.
Return to Social Skills or Climbers.
"I" Messages * Respectful Disagreeing * Problem Solving * Basic Processing * Evaluation * Goal Setting