This is a short activity that teachers can give to their students towards the start of a semester/year to help them set some simple goals that they would like to accomplish. The teacher will print the first page and give it to the students to complete. The teacher will then collect them and display them around the room or keep them in a file to review towards the end of the year/semester. Once the teacher is ready to see if the students accomplished some of their goals, the teacher will give the original page to the students and also print the second page for students to complete which will allow the students to reflect on their goals and see if they accomplished some of them. If the students don't complete their goals, they can use the space to write new things that they did/played/ate, etc so that they are at least reflecting on new experiences that they have had throughout the year/semester.
The third page elaborates on some of the instructions for the teacher for this activity.
I've included a Word format in case you want to make any changes and a PDF format.