Behavior Think Sheet. I used something similar to this with some of my students who needed time away from the situation to settle down before discussing the problem with me.
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Tween Teaching: Behavior Reflections Sheet
Owl Clip Chart for Classroom Management and a Behavior Think Sheet Freebie
Behavior Reflection Sheet
Task 1: how we can manage behavior by having them think about what they have done wrong
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Behavior Think Sheet
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behavior Think Sheet. I think this needs to be an every incident type of thing to encourage reflection and responsibility for actions with peers.