Self Reflection Form

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Self Reflection Form

Hillgrove Transition Academy - Community Skills Class

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* Indicates required question

Name: *

Your answer

Today's date is... *

Your answer

One task or chore I completed this week was... *

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Your answer

I started my task/chore with... *

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little/no reminders

some reminders

a lot of reminders

I stayed on task... *

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the whole time

some of the time

not at all

I finished my task... *

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Yes

No

I finished some of the task

Submit

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