Describe the behavior you want a student to track and how they rate it. Makeform turns it into a self-monitoring behavior form — a simple scale, check-ins each period, student and teacher ratings side by side, and a short reflection — so progress is on the record, not lost in a desk.
Send check-ins to Google Sheets, Slack, and Zapier.
Sample prompts for the builder
Pick a prompt, edit it above, or send it into the real Makeform builder. The structure here is an example, not a live AI result.
Audience
Elementary students tracking on-task behavior in class
Format
Interval check-in form with a rating scale
Prompt size
465 chars
Example form structure
Interval check-in form with a rating scale
Your name and today's date
Which class or subject is this check-in for?
How was your behavior this period? (green / yellow / red)
Did you meet your goal of staying on task?
What helped you, or got in the way?
Suggested routing tags
Met goal
Needs check-in
Teacher review
Have the student rate themselves before the teacher rating is shown — self-monitoring only works when the number is the student's own, not a copy of yours.
Step 1
Set the target
behavior, goal, and rating scale
Step 2
Check in
student rates themselves at each interval
Step 3
Compare
teacher rating next to the student's, side by side
Step 4
Review
check-ins roll up so you can see progress and adjust
Why a self-monitoring form
Having students rate their own behavior is one of the most reliable ways to improve it. The hard part is the paper: charts get crumpled, ratings never get tallied, and there is nothing to show at the meeting. A form fixes the collection problem.
Self-monitoring only works when the student, not the adult, records the behavior. Simple rating fields put that in their hands — on a phone, tablet, or shared classroom device.
Each submission is a timestamped record, so a month of check-ins becomes a chart you can actually read — no counting rows of tally marks by hand.
Progress toward a behavior goal is documented as you go, so you walk into the meeting with evidence instead of a stack of paper you meant to add up.
Built for your students
Start from the version closest to the intervention you are running, then edit the behaviors, scale, and intervals in the builder.
A quick rating of on-task behavior each period, in language young students understand.
Student self-ratings placed next to teacher ratings, so the two can talk about the gap.
Point sheets for check-in check-out that tally toward a daily goal and go home to parents.
Feelings, coping strategies, and next steps for students working on self-regulation.
From chart to check-in
Makeform builds your self-monitoring plan into a live form with a running record, so the data stops living in a desk.
Tell Makeform the target behavior, the rating scale you use — Zones, 0 to 2 points, a 1 to 4 scale — and how often the student checks in.
Adjust the behaviors, add conditional follow-ups — a reflection box only when the student rates themselves in the red — and set the intervals.
Send a link to a phone, tablet, or classroom device, or embed it — no student login. Schedule reminders at your check-in intervals so the student gets a nudge at each one and ratings actually happen on time.
Submissions flow to your inbox and Google Sheets, so a week of self-ratings becomes a progress-monitoring chart for the team.
Form vs template vs printable chart
A printable self-monitoring chart gives you a grid to photocopy, but you still have to tally it by hand and hope it comes back. A generated form collects, scores, and stores itself.
Field guide
Looking for a self-monitoring chart to copy? These are the parts that make one work in practice — generate them as a form, then set the target behavior and scale to your student's plan.
Target behavior & goal
A self-monitoring form only helps if everyone means the same thing by "on task." Define the target behavior in student-friendly words and state the goal the student is working toward, right at the top of the form.
Rating & intervals
Self-monitoring lives or dies on the interval. Pick a scale the student can use in seconds and a rhythm — per period, per subject, or set times — that matches the behavior you are tracking.
Student & teacher match
The teaching moment is the gap between how the student rated themselves and how the teacher saw it. Collect both so they can compare and calibrate over time.
Reflection & next step
A rating without reflection is just data collection. A short prompt turns each check-in into a chance to name what helped and choose a strategy for next time.
Related tools
Self-monitoring is one piece. Build the progress reports, referrals, and daily sheets around it from the same AI builder.
Roll self-monitoring data into a progress report for families and the support team.
Open toolDaily behavior report cards and check-in sheets that go home each afternoon.
Open toolRefer a student for counseling support and gather the background in one form.
Open toolLog the consequence side of the behavior plan with the details on record.
Open toolDocument what a work sample shows alongside the behavior data.
Open toolStructured classroom feedback forms for observations and reviews.
Open toolFAQ
Short answers for teachers, counselors, and interventionists setting up self-monitoring.
It is a form a student uses to observe and rate their own behavior at set times — during each class period, at check-in and check-out, or after a specific activity. The student records how they did against a target behavior and goal, which builds self-awareness and gives the teacher a record to review.
Self-monitoring works on a simple principle: the act of noticing and recording your own behavior tends to improve it. When a student pauses to rate whether they stayed on task, they become more aware of the behavior and more invested in the goal — often without any other reward.
A template or printable chart is the blank grid you photocopy; the student marks it by hand and someone tallies it later. A form is the same idea, completed on a device, so every check-in is scored and stored automatically. Makeform generates the form — you set the behaviors and scale to match your plan.
The core parts: the target behavior in student-friendly words, the goal, a simple rating scale, the check-in intervals, a space to compare student and teacher ratings, and a short reflection. Add a daily points total and a parent signature for check-in check-out sheets.
Yes. Share the form as a link on a phone, tablet, or classroom computer, or embed it in your LMS. No student login is required, and scheduled reminders nudge the student at each check-in time so entries happen when they should.
Yes. Add a teacher rating field next to each student self-rating. The gap between the two is the teaching moment — over time, ratings that start to match show the student is calibrating their self-awareness.
Yes. Build the school-wide expectations as rating rows, score each period on your point scale, total the points toward a daily goal, and add fields for teacher initials and a parent signature at the end of the day.
Yes. The rating field can be whatever you use — Zones of Regulation colors, a 0-1-2 point scale, a 1 to 4 rating, or described smiley faces. Define the scale once so ratings stay consistent across every check-in.
Yes. Because each check-in is timestamped and stored, the form doubles as data collection for an IEP behavior goal or a BIP. You can show progress over time instead of reconstructing it from paper the day before the meeting.
Yes. You can generate the form, edit it, and share it with students for free. Paid plans add higher submission volumes and advanced features.
Every submission lands in your Makeform inbox and can flow to Google Sheets, so a week of self-ratings becomes a row-by-row record you can chart for progress monitoring, an IEP goal, or a behavior plan.
Yes. Add a parent signature or acknowledgment field to a daily report card and share a copy home. Parents can sign on screen, so the check-out step is recorded without chasing paper.
Stop tallying behavior charts by hand.
