Have students that didn't quite get it the first time? Give them the opportunity to do better with this remediation form.
I keep copies at the front of my room for students if they fail a test or homework assignment. This form provides them with opportunities to assess why they did not do well and then suggestions to learn the content better. Once they have completed the form and extra preparation I give students the homework assignment or test to redo. I choose to replace the failed grade with the remediated grade, but you could average the two scores.