I find that it is transformative for students to reflect on their own behavior, as well as the reasons for and consequences of that behavior. This clean, simple form is appropriate for upper elementary through middle school.
There are no cutesy illustrations here (I've found that some children respond poorly to those in an emotionally-fraught moment). This is a straightforward, clean template that guides students through considering their actions and behaviors and making a plan for the future.
These forms are also great documentation of behaviors and problems.
There are two layouts included - one full-page, and one that is 2 per page, double sided (copy double sided and then half the sheet horizontally to get two forms out of one sheet of paper).