EXAMPLE: Achieving My Goals Worksheet
Student:
School:______________________
Grade:
Teacher:____________
Target Goal: To improve writing products.
________________________________________________________
Goal Achievement Scale: (With descriptions for criteria to monitor goal achievement)
+2 I initiated doing my writing on the computer.
____________________________________________________
+1 I did my writing on the computer or when instructed to do so.
____________________________________________________
0
I handwrote my work and others could read it.
____________________________________________________
-1 I handwrote my work but others could NOT read it.
____________________________________________________
-2 I refused to do my written work.
____________________________________________________
Graph of progress
Goal achievement rate for each day
Date
+2
x
+1
0
x
x
x
-1
x
x
x
x
x
x
-2
Day
1
2
3
4
5
6
7
8
9
Adapted from: Academic Competence Evaluation Scales, by J. C. DiPerna and S. N. Elliot, 2000. San
Antonio, TX: Psychological Corp.
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