Choice Check Think Sheet
Choice Check Think Sheet
Take a breath, reflect on what happened, and plan a positive path forward.
5th Grade Reflection
Student Name:
Date:
Teacher / Class:
1. What happened?
(Describe the facts of the choice you made objectively)
2. How was I feeling or what did I need at that moment?
Frustrated Angry / Upset Overwhelmed Tired Distracted Bored Left Out Other (specify)
3. Who was affected and how?
(Think about classmates, teachers, yourself, or classroom learning)
4. How can I make things right?
What action, apology, or fix will repair the harm?
5. Better choices for next time
What positive coping strategy or choice will I use?
Review & Signatures
Please discuss, sign, and return to school.
Student Commitment
Student Signature Date
Teacher Review
Teacher Signature Date
Parent / Guardian Review
Parent Signature Date