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Worksheets

Self Check-in!!

Total questions: 21

Worksheet time: 11mins

Name
Class
Date
1.

Did you sleep well this week?

a)

Yes, sleeping really well

b)

I sleep hasn't changed

c)

No! sleeping really badly

2.

Did you notice you sleep more or less than usually?

a)

Sleeping more

b)

No more than normal

c)

Sleeping less

3.

Are you refreshed in the morning or do you still feel sluggish?

a)

I feel full of energy

b)

I feel normal

c)

I feel sluggish

4.

Are you eating healthy?

a)

Yes, more healthy

b)

No more than normal

c)

No, unhealthy

5.

Did you notice you eat more or less than usually?

a)

Yes

b)

No more than normal

c)

No

6.

Do you have increased cravings for comfort food or sweets?

a)

Yes

b)

No more than normal

c)

No

7.

Are you experiencing an uneasy/unwell stomach?

a)

Yes

b)

No

8.

Are you experiencing headaches?

a)

Yes

b)

No

9.

Do you feel your shoulders and neck are tense and ache?

a)

Yes

b)

No

10.

Do you feel out of energy?

a)

Yes

b)

No

11.

Are you actively participating in your classes?

a)

Yes

b)

Kind of

c)

No

12.

Are you finishing the assigned tasks on time?

a)

Yes

b)

Kind of

c)

No

13.

Are you already falling behind?

a)

Yes

b)

Kind of

c)

No

14.

Are you motivated to study?

a)

Yes

b)

Kind of

c)

No

15.

have you been hanging out/chatting with your friends? (online or in person)

a)

Yes

b)

Kind of

c)

No

16.

Did you play any games with your friends online?

a)

Yes

b)

Kind of

c)

No

17.

Do you talk to/spend time with your family?

a)

Yes

b)

Kind of

c)

No

18.

Do you feel isolated, lonely or sad?

a)

Yes

b)

Kind of

c)

No

19.

Do you think you worry more about things than usually?

a)

Yes

b)

Kind of

c)

No

20.

Do you get more easily annoyed, frustrated or upset by things or people than normal?

a)

Yes

b)

Kind of

c)

No

21.

Have you noticed any emotional changes in yourself?

a)

Yes, positive change

b)

No change

c)

Yes, negative change