What I Did Today School age:
My name is: ________________________Date: _________M T W TH F
Today how I ate…
Breakfast: ð seconds_____________ð all ð most ð some ð one bite only ð I wasn’t hungry
Lunch: ð none ate at school ð seconds__________ ð all ð most ð some ð one bite only ð I wasn’t hungry
Afternoon Snack: ð seconds _____________ð all ð most ð some ð one bite only ð I wasn’t hungry
My mood today:
ðHappy ð Playful ð Quiet ð Talkative ð Sleepy ðHelpful ðWhiny ðWild ð Bossy ðAggressive ð sad
ð demanding ð cuddly ð silly ð angry ðNot feeling well ð Inquisitive ð Excitable ð ______________
ð Having difficulty sharing ð_________________ð_________________
ð In time-out For________________________________________________________________
______________________________________________________________________________
My School day: ____________________________________________________________
Home work: Yes or No Completed: Yes or No
Not in school today at rest time: ð I rested quietly ð I bothered other kids at rest time
ð I slept ______to ______
Today I played in daycare the following ways:
ð free play ð painted ð was read to ð colored ð played games ðblocks ð played dress up ð sand play ð playdoh ð puzzles ð help cook ð music ðsang ð watched movie/TV ð outside play
ð computer ð arts & crafts,ð danced ð _________________ð ______________
I earned the treasure box for this week? Yes or No_______________________________
Who I played with:
ð By myself ð Kayla ð Josh ð Aiden ð Rebecca ð William ð Shelby ð Alyssað Cody A. ðTrevor
ð Cody C. ð Skyler ð Crystal ð_____________ð_____________ð_____________
Medications:
Time: _________ Dosage: ____________Type: _______________
Time: _________ Dosage: ____________Type: _______________
Time: _________ Dosage: ____________Type: _______________
Please bring more…
ð clean clothes ð jacket ð other _____________________
Dayna’s comments:
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