This is a bellringer/warm up activity for students to self-reflect on 7 classroom habits, such as completing work, paying attention, and studying. Students choose between "poor", "could be better", or "great". This language, in my experience, provides reasonably honest answers from students. I recommend assigning this regularly (after each week, unit, or quarter) to discover any student growth. The sheet is designed to be cut into thirds.
If you want this to have greater impact, please consider showing my music video "When I Was In Your Class" from my YouTube channel "mrsteffessongs" in which I have to go to summer school since I failed a class due to poor habits.