Problem Solving Process

Your Name: _____________________________ Your Grade/Teacher: ____ /_______________ Today’s Date: ____________

My Side of the Story

Please use this form to tell your side of the story.

*What was the Problem?*	*Draw a picture or write out what happened:*
	Write out or draw a picture of what happened:			When did this happen? ______________________________ Where did this happen? @ School / @ Home My Issues / Friends Issue
*Check in on how you feel about the problem……*	Circle how you feel About this situation?	*Take a moment to Breathe and ReThink!* Any Ideas why you feel this way?
*THINK of possible Solutions* & *EXPLORE the Outcomes*	Share possible solutions a person could do?		What are possible outcomes from the solution?
	(Ex: Tell the teacher / Talk to counselor)		(Ex: Teacher calls home – they get in trouble)
*Pick a Solution*	Share which solution you want to try:

Documentation (if needed)	Teacher Use only Entered in TAC? ______ Parent Contacted? ____ *Notes:*