Paycheck Reflection Worksheet
Weekly Student Reflection • Part 1: Look Back
Weekly Paycheck Reflection: Where Is Your Money Going?
Grades 5–8
Name:
Date:
Homeroom:
This Week's Paycheck: $
Section 1
Where Is Your Money Going? (Redirections)
You do not need an exact number. Think about your week and give your best estimate.
| Redirection | About How Many Times? | When Does This Usually Happen? (circle) |
|---|
| Talking | | |
| Transition Independent Work Instruction Other | | |
| Repetitive Behavior | | |
| Transition Independent Work Instruction Other |
| Off Task |
| Transition Independent Work Instruction Other |
| Failure to Follow Directions |
| Transition Independent Work Instruction Other |
| Other: |
| Transition Independent Work Instruction Other |
Section 2
How Did You Earn Money This Week? (Positive Choices)
Give your best estimate of where you earned bonus or weekly money.
| Positive Choice | About How Many Times? | When Does This Usually Happen? (circle) |
|---|
| Active Participation & Engagement | | |
| Transition Independent Work Instruction Other | | |
| Staying Focused & On Task | | |
| Transition Independent Work Instruction Other |
| Following Directions the First Time |
| Transition Independent Work Instruction Other |
| Helping Others & Teamwork |
| Transition Independent Work Instruction Other |
| Other: |
| Transition Independent Work Instruction Other |
Section 3
Reflection
Answer each question thoughtfully in 1–2 complete sentences.
1. What redirection did you receive the MOST this week?
2. When during the school day are you most likely to lose money?
3. Why do you think this keeps happening?
4. What is ONE thing you did better this week that you want to keep doing?
5. Looking at your paycheck, what is the biggest change you need to make?
Page 1 of 2 • Reflect & Analyze Turn to Page 2 to create your plan →
Weekly Student Reflection • Part 2: Look Forward
How Will You Keep & Earn More Money?
Action Plan
Section 1
My Plan
Create your own specific action steps for next week.
My Action Step
What is ONE specific thing you will do differently next week?
"I will "
How will this help you improve overall?
How will this help you KEEP money?
How will you EARN money?
List 2 specific positive choices you can make:
My Paycheck Goal for Next Week:
$
Next week, I will be successful if I...
Tear or cut along dotted line if you have a paycheck concern
C3
C3 CARD — Paycheck Concern
Confidential Teacher Communication
Student Name:
Teacher I Need to Speak With:
Date:
I have a question or concern about:
Money I lost A redirection Money I earned Something on my paycheck Other:
What would you like your teacher to know?
What would you like to happen next?
Fill out this card, tear it off, and silently hold it up. Your teacher will collect it. Continue working while you wait.