Daily Success Tracker Worksheet Daily Success Tracker
I can make great choices!
Name: _________________
Date: _________
Arrival - RTI
3+ Stars = Block Star!
Directions
1
2
3
4
5
Safe Body
1
2
3
4
5
Coping
1
2
3
4
5
Peers
1
2
3
4
5
Block Star
Specials - Lunch
3+ Stars = Block Star!
Directions
1
2
3
4
5
Safe Body
1
2
3
4
5
Coping
1
2
3
4
5
Peers
1
2
3
4
5
Block Star
Recess - Dismissal
3+ Stars = Block Star!
Directions
1
2
3
4
5
Safe Body
1
2
3
4
5
Coping
1
2
3
4
5
Peers
1
2
3
4
5
Block Star
Heart Check
😡😢😐😊🤩
Daily Stars: ____ / 12
Quick Guide
1 Rate 1-5 after block.
2 4 or 5 score = Star!
PAWS Room: Transition for unsafe behavior.
Star Power Token Board Activity Star Power Board
Earn a star sticker for every successful block!
My Daily Rules
Directions
Safe Body
Coping Skills
Respect Peers
Reward Menu
Treasure Box
Chromebook
Assistant
My BIG GOAL
Draw prize here!
Reset Zone
Refocus Form
PAWS Room
Daily Effort:
1
2
3
4
5
Choice and Consequences Chart Reference Sheet My Choice Map
I have the power to pick my path!
GREEN CHOICES
Directions Listening and doing it first.
Safe Body Hands and feet to self.
Coping Take a breath and reset.
Respect Peers Being a kind friend.
Good Results
Earn Stars
Pick a Prize
RED CHOICES
Hurting Hitting, kicking, pushing.
Mean Words Screaming or yelling.
Defiance Not following directions.
Running Leaving the adult.
The Other Results
PAWS Room
Fix-It Plan
"I can stop, breathe, and make a Green Choice!"
Super Star Implementation Guide Teacher Resource Super Star Guide
Tier 3 Implementation Protocol
STAFF ONLY
Staff Protocol
1. Scoring (Post-Block)
Rate 1-5 on the Daily Tracker. A score of 4 or 5 earns 1 Star Sticker.
2. Block Stars
If student earns 3+ stars in a block, award a "Block Star" for the Power Board.
3. Rewards
Prizes are redeemed once the Power Board (20 stars) is complete. Support with daily praise.
PAWS Room Triggers
Immediate referral for:
Physical aggression (hitting/kicking).
Prolonged disruption (> 5 mins).
Refusal of 3 coping skill prompts.
Daily Goals
Follow Directions / Safe Body
Use Coping Skills / Respect Peers
Classroom Notes
© 2026 Behavioral Success Plan • Tier 3 Support
Teacher Resource
Refocus and Fix It Form Worksheet Refocus & Fix-It
I can pause, breathe, and reset
Name: ___________________
Date: __________
1 How was I feeling?
😡 Angry
😢 Sad
😖 Mad
😰 Scared
2 What choice did I make?
Directions
Safe Body
Coping
Peers
3 My Fix-It Plan
Draw or write your plan to fix it here...
Facilitator Guide
"I noticed you were struggling. Let's find a way to fix it."
Student Sign: ________________
Staff Sign: __________________
Ready?
1
2
3
4
5
Counselor Check In Out Form Worksheet Counselor Club
Heart & Mind Daily Reset
Date: _________
Morning Launch
Morning Feeling:
😡😢😐😊🤩
Follow Directions
Safe Body & Words
Use Coping Skills
Respect Peers
Daily Landing
Ending Feeling
😢😐😊
Daily Effort
1
2
3
4
5
One thing I am proud of today...
Counselor Reflection
Student: __________________
Counselor: ________________
Parent Communication Log Worksheet Success Log
Home & School Connection
Week:
___________
Student:
___________
Directions Safe Body Coping Peer Respect
Day
Stars
Notes & Celebrations
Mon
___ / 12
Tue
___ / 12
Wed
___ / 12
Thu
___ / 12
Fri
___ / 12
Weekly Total
______ / 60
Best Part of the Week
Parent Sign-Off & Comment 
