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CPI DEBRIEF FORM

1. What happened? (a simple recount of the exchange, how it started, who was
involved, any witnesses, etc).
2. Are there any identified patterns with the student (similar or predictable interactions)?
Are there patterns to my response to this student? To this type of interaction?
3. What went well in this interaction? What did not? What other alternatives might I or
others utilized? What other help might have been available?
4. What will I/we do different the next time this or a similar situation occurs?

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