Phone Reset Reflection Sheet
Focus & Accountability Reset
Phone Policy Reflection Sheet
Reminder Level
2nd 3rd 4+
Name:
Date:
Class / Period:
1
Spot the Pattern
Check the main reason(s) your phone was out today:
Checking messages or notifications
Feeling bored or stuck on classwork
Habit — reached for it without thinking
Other (describe below)
Briefly explain what happened right before your phone was noticed:
2
Think Through the Impact
Since this has happened more than once, what is making it hard for you to keep your phone put away during the school day?
How does repeated phone use affect your focus, your classmates, or trust with your teachers?
3
My Reset & Action Plan
Choose the specific habit you will use starting tomorrow so your phone stays away all day:
Turn phone completely off in my bag
Leave phone in my locker all day
Turn in phone at the start of class
Leave phone at home on school days
If I feel the urge to check my phone or need to contact family, what will I do instead?
Accountability Check-In
Student Signature
Staff / Teacher Signature
Parent / Guardian (if required)
