Date:
Goal:
Action Plan:
1.
2.
3.
4.

Student:
Which of the steps in your action plan have you been doing? Which ones haven’t you been doing? Why? In which ways do you feel like you have made progress toward achieving your goal? Explain.

Parent:
Which of the steps in the action plan has your child been doing? Which steps hasn’t your child been doing? Why? Do you feel like your child has made progress toward achieving the goal? Explain.

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