Wellbeing and personal development
My form-time week: reflection and targets
Record a weekly achievement, attendance, house points and an optional mood, then choose a target and the support that may help. A second page gathers six weeks of attendance and points and offers space to reflect on what worked and what felt difficult.
Read the material
Record a weekly achievement, attendance, house points and an optional mood, then choose a target and the support that may help. A second page gathers six weeks of attendance and points and offers space to reflect on what worked and what felt difficult.
Complete resource. Use the preview for diagrams and layout.
Page 1
NAME CLASS WEEK BEGINNING LEARNING GOAL Look back on my week and choose a target for the next one. SUCCESS CRITERIA I can name something I achieved. I can record my attendance and house points. I can set a target and say how I will meet it. Form time week WEEK TERM TUTOR Page 1 of 2 TUTOR TIME AND PSHE AGES 11 TO 16 MY WEEK My form time week Notice what went well and choose one target. 1 My achievement this week 2 I am proud of... 3 Attendance Days present out of 5 M T W T F Tick the days if it helps, then write the number. A note is optional. Note 4 House points Points this week House points running total Your own total only. No ranking. Earned for 5 My mood this week Great Good Okay Low Rough Optional. Draw a face or write a word. All feelings are okay. 6 My target for next week 7 How will I do it? Steps and help 8 Thank you or shout-out Optional Thank you... For...
Page 2
NAME CLASS Form time week WEEK TERM TUTOR Page 2 of 2 TUTOR TIME AND PSHE AGES 11 TO 16 SIX WEEKS My term view 1 Six weeks at a glance Circle one in Met? WEEK DAYS IN (OF 5) POINTS TOTAL MY TARGET MET? REFLECTION 1 Met Partly Not yet 2 Met Partly Not yet 3 Met Partly Not yet 4 Met Partly Not yet 5 Met Partly Not yet 6 Met Partly Not yet 2 Targets so far Shade a step per week Met 1 2 3 4 5 6 Partly 1 2 3 4 5 6 Not yet 1 2 3 4 5 6 3 Term totals Days present House points total 4 Mood through the term Optional W1 W2 W3 W4 W5 W6 A word or a small face for each week, if you want to. All feelings are okay. 5 What worked 6 What was hard 7 Next term
A teaching sequence
Reflect on a week, record personal information selectively and set one achievable next target.
Record only chosen weekly details
Record an achievement, days present out of five and house points as a personal total. Mood words or drawings are optional.
Would you prefer to leave the mood prompt blank?
Set a supported target
Set one target, a step that could help and a person or resource to ask for support. Add an optional thank-you.
Which person or resource can help make the target manageable?
Review the six-week record privately
For six weeks, record attendance, points and target status, then reflect on what worked and what felt difficult. Share only with agreed people.
What worked in your own plan without treating attendance as personal worth?
Choose a next-term step
Ask, āWhat support could make this target manageable?ā Agree a next-term step; treat records as context, not a measure of a pupilās worth.
What support would make the next target realistic?
Before you teach
Look for the thinking behind an answer, choose the support your class needs and leave room for an independent response.
What to look for
Look for a target that is clear and achievable, plus a possible step or source of help. Use attendance and points as contextual records, not measures of a pupilās worth. A mood entry is optional; respond supportively to anything a pupil chooses to raise and follow school wellbeing procedures where needed.
Give a little support
Allow pupils to write, draw or discuss a response and to leave any optional field blank. Use private check-ins rather than public comparison. Offer help turning a broad aim into one small action and make sure pupils know which adult they can approach.
Take the idea further
At the end of six weeks, ask pupils to compare their targets with the steps they tried. They can identify one strategy to keep, one support that helped and one change for the next term, without treating every target as either success or failure.
Things to keep in mind
This is a reflection and record-keeping tool, not a mental-health or attendance assessment. Mood entries are optional and may contain sensitive personal information. Use the schoolās privacy and safeguarding procedures and do not promise confidentiality beyond those rules.
Keep the idea. Make it yours.
Bring your topic, learning goal and class context to PLAIā¢, then review what you create.
Ideas to try with your class
Sample teaching perspectives on what to try, what to adapt and what to watch for.
Meet The Creators
Meet the creators whose teaching interests connect with this template. Find an approach to try with your class.
Gareth Pryce
My classroom work is Year 7 Geography, so transition is not an abstract process for me: it meets pupils in the routines and subjects they encounter when they arrive.
Meet the creator
Sophie Rylance
As Head of Year, I work with tutors through the options process and look at whether a pupilās stated interests line up with the subjects they have selected.
Meet the creator
Page-Turner Planner
The two pages cover an achievement, attendance, house points, optional mood, one next-week target and a six-week view. The sheet explicitly says house points are each pupilās own total with no ranking and that mood is optional.
Helpful Highlighter
For ages 11 to 16, the first page supports a weekly check-in while the second helps the pupil notice patterns across a term. āWhat workedā and āwhat was hardā make the target review more reflective than a tick alone.
Pencil Case Pal
A pupil can draw a face or write a word for mood, or leave it out, and a note on attendance is optional. The target section asks for steps and help, giving a route from intention to action.
Gentle Reminder
Mood and attendance are personal information; keep completed sheets private and use the optional fields without pressure. The tracker says not to rank house points, and its mood choices do not diagnose wellbeing.