I love giving the kids a chance to self-reflect and came up with this form this year. There are two sides with academic categories (Reading, Writing, Math) on the front and academic enable categories (following directions, doing my work, friendship actions) on the back.
I added extra pages without the "Quarter 1 2 3 4" part in the upper right for those of you who go by trimester or semester.
Hope you find it helpful!
You can have it for free by clicking on the first picture. :-)
There is a typo in the pic, but not on the download. :)
Have a wonderful week!