Behavior Observation Check List
Student Name:___________________ Monitor:___________________
Date Date Date Date Date
1 2 3 4 5 6 7 8 9 1 2 3 4 5 6 7 8 9 1 2 3 4 5 6 7 8 9 1 2 3 4 5 6 7 8 9 1 2 3 4 5 6 7 8 9
Behavior
Self-Control
1. Follows Rules
2. Stays on Task
3. Stays Focused
4. Allows others to listen
and learn
Respects Others
1. Speaks Respectfully
2. Follows Directions
3. Speaks when given
permission
4. Accepts consequences
for own behavior
Class Preparation
1. Comes on time to
class
2. Brings necessary
supplies to class
3. Participates
4. Completes
assignments
5. Turns in completed
homework
Comments:
_____________________________________________________________________________________________________________________________________________________
_____________________________________________________________________________________________________________________________________________________
_____________________________________________________________________________________________________________________________________________________
_____________________________________________________________________________________________________________________________________________________
_____________________________________________________________________________________________________________________________________________________
_____________________________________________________________________________________________________________________________________________________
