Page 24 - EAP Manual

INVESTIGATION REPORT
EXAMINE THE EVIDENCE
Name: SAMPLE Date: xx/xx/xx
Describe your action with 1 sentence.
I went to the Principal’s office.
Describe what happened before you made this choice. Who was there? Just me.
When did it happen? After lunch.
Where was I? I was in Math class before.
What was I feeling? I was disappointed, upset, hungry, & mad.
What was I thinking? This day sucks, I’m stupid, I’m going to fail this quiz, my friends hate me.
What was I being pulled to do? Throw something & scream.
What did I want? What did I hope would happen?
I wanted my friends to stop talking aboutme.
How did this choice help me? What did I gain?
I was able to vent a little.
How did this choice hurt me? What did I lose?
I went to the Principal’s office. I’ve never been before!
What could I do to act more skillfully next time? What could I do differently?
Ask a friend if I could borrow some money for lunch. Use deep breathing when I am surprised by a quiz. Look through my materials to study and distract from my friends. Ask my friends what they’re talking about. Ask to use the restroom to take a break and get a cold drink of water.
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