This is a worksheet that you can use to ask students to do a self-evaluation or self-reflection on their conduct (behavior) and work habits (study skills or student success skills). It asks students to rate themselves on a standards based grading type of scale from 4 (high) to 1 (low) in 5 different categories, and then provide a short written explanation of why they gave themselves each score.
This form can be used weekly, monthly, at the end of a grading term, or any other time a teacher would like students to reflect on their conduct and work habits. It is a Microsoft Word document and can be modified to fit your particular classroom or application. Produced by Suzann Keith.