Values Interview

A 5‑minute student interview that anchors goals in what matters most.

Student‑centered ACT‑aligned Print‑ready

Student Snapshot

Student name

Grade

Setting

Prompt (student voice)

Use their exact words whenever possible.

Toward Moves

Small actions to try this week (2–3)

Why these matter (values connection)

Barriers

What gets in the way?

Adult Supports

How adults can help

Best time to prompt

Follow‑up plan

Print after filling in to use during IEP or team meeting.