I used this establish ready to work skills for students who trouble in their general education classrooms.
Before going to class, I will read the story with the student. If needed, we would role play the appropriate behaviors in story.
Page 2 of the package is with the student in their class. I've had students just refer to it as a self-monitoring guide.
I've also had to laminate a copy and the gen ed teacher would then circle or X out behaviors-- depending what was agreed upon.
Page 3 is a standard reflection sheet that allowed students discuss any specific events that occurred in class.