This PDF includes two items:
Think Sheet: This outline allows students to self-reflect and record what happened when they make negative choices. There is space for them to make a plan for the future, and an optional signature space for parent communication.
The second page is a printable for two class passes. These can be used to send students to work on their think sheets in a different classroom. There is space to write the name of the teacher they should go to, and the location that the students should be sent when they finish.