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:

________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________