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Worksheets

Tim's Check In

Total questions: 12

Worksheet time: 15mins

Name
Class
Date
1.
4 lines
2.

How much sleep did I get last night?

a)

Some sleep - I am still pretty tired, but I can work.

b)

Lots of sleep - I feel awake!

c)

Only a little sleep - I am tired this morning.

d)

No sleep! I can't function, I need a nap.

3.

How did you sleep last night? 1 star = Bad! 5 stars = Great!

a)

b)

☆☆

c)

☆☆☆

d)

☆☆☆☆

e)

☆☆☆☆☆

4.

Did you eat this morning?

a)

Yes, but only a little.

b)

Yes and I feel full.

c)

I had breakfast at school.

d)

No I didn't eat this morning.

5.

True or False? People should know what I need or want without me having to say it.

a)

True!

b)

False!

6.

No one can read your mind! It is important to tell someone how you are feeling and what you need help with before a big reaction, otherwise they will not know how to help. This means using positive choice tools to communicate your needs.

Type yes if you understand.

(a)  

7.

When I am having big feelings, what are some positive choices I can make? Choose all answers that apply.

a)

Raise my hand and ask for help.

b)

Talk to an adult.

c)

Walk away safely* until I am calm.

d)

Take deep breaths.

e)

Request a "Much Needed" break to problem solve.

8.

All of these choices help us stay respectful, responsible, and safe so that the problem or negative feelings don't become bigger.

*Walking away safely means staying in the same area you are supposed to be but moving away from what is causing the negative big feelings.

Type yes if you understand.

(a)  

9.

In order for me to take a choice break, I need to earn how many check marks?

(a)  

10.

When I go to recess, what do I need to do before I go play?

4 lines
11.

It is important to check in with Coach Anita as soon as you get to recess. She will help you decide what you can play at recess - that will keep you safe! Make sure you are respectful when she gives you the options, and if you don't understand something, ASK!

Type yes if you understand.

(a)  

12.

DOODLE TIME! Draw something that makes you feel good!