Name: _____________________ Student Signature: _____________________ Date: _______________

Goals: Be Responsible Checked in on time (8:308:55) Checked out on time (2:453:00) Goals: Be Responsible I shared my H.U.G. sheet with my teachers, including specialists and recess supervisor. I shared my H.U.G. sheet at home, got signature, and returned it to school the next day.

H.U.G.
Hello, Understand, Good Day

Point Value:

3= (0 reminders) Great Job! 2= (1-2 reminders) needing

some help. Re-focus

3 2 1
Monday Tuesday Wednesday

1= (3 or more reminders)
Think about your goals

Thursday

Friday

3 3 2 2 1 1 3 3 2 2 1 3 1 3 2 2 1 1 3 3 2 2 1 1 3 3 2 2 1 1

Monday Tuesday Wednesday Thursday Friday signature/initial signature/initial signature/initial signature/initial signature/initial