School/District
Completing the Reflective Question Response Plan

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Reflective Question:	What Is Working	What Needs Work
What is the question for which a plan is proposed? Write it out or use a number. Turn in the sheet with the number on it for STS reference.	A list of activities related to the reflective question that is working	A list of activities to accomplish to complete the plan—the solution

Plan for What Needs Work: activity(ies)	Start Date	End Date	Monitoring Process	Responsibility
List the activities from “What Needs Work”	When will the first activity start	When will the first activity end	How we will know it is completed or progress made	Whose responsibility is it for monitoring and reporting