Written Debrief Form

Debrief: Please write an answer for each question below. The answer you give for these questions should be honest and help you work toward a solution that will help you resolve the problem that got you in the isolation area and will prevent this behavior from happening again.

  1. What did I do to earn this consequence?

    2.  

  2. What was I feeling at the time?

    3.  

  3. Why did I make this choice?

    4.  

  4. What other choices did I have?

    5.  

  5. Is there some personal issue in or out of the classroom that may be increasing my stress level today? If yes, what is it and what can I do to relieve this added stress?

    6.  

  6. What would I like to say about what happened that may help explain the problem?

    7.  

  7. What can I change to keep this from happening again?

    8.  

  8. What will I agree to do or try if this situation happens again?

    9.  

  9. How am I feeling now?