Student Self Monitoring Checklists Editable

About this resource

The clipboard a student holds while learning to watch their own behavior, work completion or executive-function goal, as one fillable PDF. The teacher types the goal in the student's words, the cue and the choices once and Saves As; the student writes the marks in pen. An on-task self-check with a teacher match column, daily self-rating sheets for six and eight periods, a work completion checklist, a morning routine and materials checklist, an executive function weekly checklist, a break and regulation log, a goal setting sheet, a weekly reflection, the teacher's match data sheet with the fade rule written in advance, a progress graph, a certificate, and a filled-in example.

WHAT IS INCLUDED - 20 pages, 893 type-in fields

Setup

• Which Sheet for Which Student - a chooser that matches the goal or the problem to the sheet and page, and a three-day table for introducing self-monitoring: model, do together, do alone
• How the Type-In Fields Work - one page, so nobody emails you; the teacher types, the student writes in pen
• Teacher Setup: One Student - six setup items written with the student in the room: what I am watching in my words, the signal or cue, how often, how the match is checked, what earning means, the fade plan; a before-day-one check and lines for who else needs to know
• Self-Monitoring Roster - 12 rows: student, what they monitor, sheet used, cue interval, match check, started, review

Seven Student Sheets

• On-Task Self-Check - 20 cues in two columns: time, "Was I working?" Y or N, and a teacher column marked separately; yes counts, cues matched, percent, and lines for the cues the two of you talked about
• Daily Behavior Self-Rating - three goals the teacher types in the student's words, 6 periods, a 0, 1 or 2 from the student and one from the teacher per goal, a match column, day total, points, percent
• Daily Behavior Self-Rating, Eight Periods - the same sheet for a secondary schedule, 8 periods
• Work Completion Checklist - 10 assignment rows: subject, what to do, did I start, did I finish, turned in, teacher check; finished and turned-in totals; what got in the way
• Morning Routine and Materials Checklist - 10 arrival items and 6 end-of-day items the teacher types, checked Monday to Friday, a checks-today row under each
• Executive Function Weekly Checklist - 7 skills (planning, materials, starting, staying on, finishing, turning in, asking for help), a line for what each looks like for this student, Monday to Friday checks, a weekly self-score out of 5 and a week total out of 35
• Break and Regulation Log - the choices the teacher types at the top, then 12 rows: date, time, what I felt, what I chose to do, did it help, back to work in how many minutes

Goals, Reflection, Teacher Pages

• Goal Setting Sheet - my goal in my words, why it matters to me, what I will do, who helps, how I will know, three check-in rows, two signatures
• Weekly Self-Reflection - what went well, what was hard, this week's score beside last week's, next week I will, a teacher comment and a family comment
• Match Data Sheet - 10 days of student score, teacher score, match, agreement percent; the fade rule in blanks: when agreement is __ percent for __ days, check every other day
• Progress Graph - twelve points on a 0 to 100 grid labeled to the sheet, a date and percent row, the aim line drawn first
• Certificate and Celebration Page - a plain certificate with typed fields, student and teacher signatures, a next-goal line, how we celebrated, a line back from home; no clip art
• A filled-in example for an invented fourth grader: an on-task sheet with 20 cues marked by the student and the teacher, the yes counts, the agreement percent, and the row it puts on the match data sheet

What This Is, And What It Is Not

It is a fillable PDF. Open it in a PDF reader, click a line, a box or a cell, type, press Tab to move on, and Save As once per student. It works offline with no account or subscription. It is NOT a Google Sheets file, a Google Doc or an Excel workbook, and it does not calculate percents or draw the graph.

It is not a behavior plan, a curriculum or a list of strategies. The teacher types the goal, the cue and the break choices; the student does the watching. Nothing in it says which students should self-monitor or why a behavior happens. If a plan or an IEP already names the goal, its words go on the setup page.

Who This Is For

Special education and general education teachers, counselors and interventionists, kindergarten through high school, who are teaching a student to monitor their own on-task behavior, daily behavior goals, work completion, morning routine or executive-function skills; the paraprofessionals who give the cue; and the case managers who need the same sheet used the same way in every room.