Impulse Check Reflection Sheet
Pause & Reset
Impulsivity & RAISE Values Reflection
Name:
Date:
Block:
An impulse happens when our actions move faster than our thoughts. Taking a pause helps us reflect, make things right, and practice our RAISE values.
1
The Moment
What was happening, and what was your impulsive reaction or choice?
State the facts honestly (what triggered the urge and what you said or did):
2
The RAISE Lens
Which value(s) were tested or overlooked? (Check all that apply)
Respect
Treating others and boundaries with dignity.
Achievement
Staying focused on learning and positive goals.
Inclusion
Making sure everyone feels safe and welcomed.
Service
Contributing positively to our classroom community.
Empathy
Caring about how actions impact others.
Pick 1 or 2 values you checked above. How did your impulsive choice impact yourself or others?
3
The Pause Button
What internal trigger sparked the impulse?
Frustration Boredom Tiredness Wanted laughs Felt rushed
Next time, what pause tool can you try?
3 deep breaths Count down from 5 Ask for a break Write it down first
If this same situation happens again, my plan to pause is:
4
Restore & Commit
What is one concrete action you will take to make things right or restore trust?
(e.g., verbal or written apology, cleaning/fixing something, checking in with someone):
