Goal Check List

Student-led Confrence
Name: 


  1. What hour do you have Art?
    1 2 3 4 5 6 7 8 9


  1. I am never absent from school.
      1 2 3 4 5  
    Strongly agree   Strongly disagree


  1. I am never tardy to school.
      1 2 3 4 5  
    Strongly agree   Strongly disagree


  1. I am never tardy to class.
      1 2 3 4 5  
    Strongly agree   Strongly disagree


  1. I always complete school projects on time.
      1 2 3 4 5  
    Strongly agree   Strongly disagree


  1. I take my time on school work and never hurry through just to get finished.
      1 2 3 4 5  
    Strongly agree   Strongly disagree


  1. I always do my best.
      1 2 3 4 5  
    Strongly agree   Strongly disagree


  1. I always take my books home when needed.
      1 2 3 4 5  
    Strongly agree   Strongly disagree


  1. I always complete all of my homework.
      1 2 3 4 5  
    Strongly agree   Strongly disagree


  1. I always use my Team Study and Flex periods to complete homework.
      1 2 3 4 5  
    Strongly agree   Strongly disagree


  1. I always bring supplies and assignments to class daily.
      1 2 3 4 5  
    Strongly agree   Strongly disagree


  1. I am well organized and use my folders/trapper to keep papers and assignments.
      1 2 3 4 5  
    Strongly agree   Strongly disagree


  1. My papers are completed neatly.
      1 2 3 4 5  
    Strongly agree   Strongly disagree


  1. I always pay attention in class.
      1 2 3 4 5  
    Strongly agree   Strongly disagree


  1. I manage time wisely.
      1 2 3 4 5  
    Strongly agree   Strongly disagree


  1. I return papers and forms on time.
      1 2 3 4 5  
    Strongly agree   Strongly disagree


  1. When I need help, I ask my teacher.
      1 2 3 4 5  
    Strongly agree   Strongly disagree


  1. I am well prepared for tests.
      1 2 3 4 5  
    Strongly agree   Strongly disagree


  1. So far, I believe that I have _____________ discipline slips.
     
      1 2 3 4 5 6 7 8 9 10  
    0  10


  1. Concerning question #19, what can you do to keep from getting more discipline slips?





Mr. P
8th Grade U. S. History
Benjamin Rush Middle School
IN