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All About Me Snapshot

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ldemoraes

Tier 3
For Schools

Worksheet

All About Me Snapshot

Student Information

Name:




Date:




Age:





Family

  1. Who lives in your home or are important people to you? (List names and relationships)






  1. Is there someone you feel really close to? Who and why?







Favorites

  1. Favorite subject at school and why:






  1. Favorite hobby or activity:







School Experiences

  1. How is school going for you? What is one thing you like about school and one thing you find challenging?











  1. If you could change one thing about your school day, what would it be?







Feelings and Regulation

  1. On a scale from 1 (Very calm) to 5 (Very stressed), how do you usually feel at school?
    1 2 3 4 5



  1. What helps you feel better or calmer when you are upset at school? (Describe skills or strategies you use)











  1. Is there something new you would like to try to help you calm down when you feel upset? What is it?












Goals

  1. What is one goal you have for yourself this week?






  1. What is one way I (your counselor) can support you?






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