A self-guided, low-stimulus behavior reflection form for 10th-grade students asked to leave class. Designed to facilitate independent de-escalation, objective self-assessment, and quiet re-entry planning while minimizing adult and peer attention-seeking dynamics. Includes a DBT STOP skill card and paced breathing check in Step 1. Location set to Summit, and Time In field added. Now includes teacher "sent-for" trigger checkpoints and a physical refusal consequence warning.