I use this document with my students to help them reflect on their behaviors and work habits in my classroom. I have students complete it independently and then meet with each student to discuss my thoughts and complete the teacher portion. Then, I share this with parents and families at conferences.
It is a great way for students to reflect on their behaviors as a student, while also communicating with families.
My version is for fourth graders, but I've uploaded the document as a Word file so that changes can be made after you've purchased it to adapt your classroom and students.
This assignment pairs well with my Student Goal Setting listing.