Personal Hygiene Checklist

Name: ____________________________ Date: ____________________________

Handwashing Steps

1. ☐ Wet hands with clean, running water
   
   
2. ☐ Apply soap and rub palms together
   
   
3. ☐ Rub back of hands, between fingers, and under nails
   
   
4. ☐ Rinse thoroughly under running water
   
   
5. ☐ Dry with a clean towel or paper towel
   
   
   

Toothbrushing Steps

1. ☐ Hold brush at a 45° angle to gums
   
   
2. ☐ Use gentle, small circular motions
   
   
3. ☐ Brush outer, inner, and chewing surfaces of all teeth
   
   
4. ☐ Brush for at least 2 minutes, then rinse
   
   
   

Reflection

What was your favorite step today?






What was the hardest step?






Parent/Guardian Signature: _______________________________

Hygiene Hero Role-Play

Objective: Students will reinforce and demonstrate correct handwashing and toothbrushing routines by acting out roles and giving peer feedback.

Materials:

• Handwashing Steps Poster
• Toothbrushing Techniques Diagram
• Personal Hygiene Checklist
• Hygiene Hero Role Cards (Hero, Observer, “Sneaky Germ”)
• Optional: Superhero capes or badges for each Hero role

Teacher Prep (10 minutes):

• Print and cut Hygiene Hero Role Cards: label cards “Hero,” “Observer,” and “Sneaky Germ.”
• Arrange posters and checklists in the activity area.
• (Optional) Prepare capes or badges to identify Heroes.

Instructions:

1. Introduction & Role Assignment (5 minutes)

   • Explain that today’s mission is to become Hygiene Heroes who keep germs away by showing perfect handwashing and toothbrushing.
   • Describe each role:
     • Hero: Demonstrates the full routine.
     • Observer: Watches closely and checks off each step on the Personal Hygiene Checklist.
     • Sneaky Germ: Tries to distract the Hero with silly questions or actions (e.g., “Did you skip step 2?”) to test the Hero’s focus.
   • Divide students into groups of three and hand out one of each role card per group.

2. Teacher Model (3 minutes)

   • Choose a volunteer to act as Hero while you play Observer and another student plays Sneaky Germ.
   • Model a complete handwashing cycle in front of the class using the poster, narrating each step.
   • Then model the toothbrushing routine in front of the mirror diagram, again narrating steps.

3. Role-Play Rounds (12 minutes)

   • Groups begin the role play:
     1. Hero performs handwashing following the poster steps; Observer marks steps on the checklist.
     2. Sneaky Germ tries to distract or asks questions; Hero stays focused and completes each step.
     3. Switch roles clockwise and repeat until each student has been Hero once.
     4. After handwashing, repeat the same sequence for toothbrushing using the diagram and checklist.
   • Teacher circulates, praises strong Heroes, and gently corrects any missed steps.

4. Group Reflection & Recognition (5 minutes)

   • Reconvene whole class. Ask:
     • Which Hero had the clearest routine? Why?
     • How did you stay focused when being distracted by the Sneaky Germ?
   • Hand out “Hygiene Hero” stickers or badges to each student for demonstrating strong focus and correct technique.
   • Encourage students to use their checklists at home and share the role-play game with family members.

Hygiene Habits Survey

Name: ____________________________ Date: ____________________


Instructions: Please answer the following questions honestly. We’ll use your responses to guide our discussion and activities today.

1. How often do you wash your hands at these times? (Circle one)
   a) Before eating: Always / Sometimes / Never
   b) After using the restroom: Always / Sometimes / Never
   c) After playing outside: Always / Sometimes / Never
   
   
2. How many times a day do you brush your teeth?
   _____ times per day
   
   
3. Which of these hygiene routines do you do every day? (Check all that apply)
   ☐ Brush teeth
   ☐ Wash face
   ☐ Comb/brusha hair
   ☐ Take a bath/shower
   ☐ Clip nails
   
   
4. What is one hygiene habit you find easiest? Why?
   
   
   
   
5. What is one hygiene habit you find hardest? Why?
   
   
   
   
6. Is there any hygiene skill you’d like to learn more about in our sessions?
   
   
   
   
   
   

Thank you! We’ll use your answers to make today’s activities fun and helpful for everyone.

Daily Hygiene Pledge

Name: ____________________________ Date: ____________________________

I pledge to practice these hygiene steps every day (check all that apply):

☐ Wash my hands before eating meals

☐ Wash my hands after using the restroom

☐ Wash my hands after playing outside

☐ Brush my teeth at least twice a day for 2 minutes each time

☐ Use my Personal Hygiene Checklist at home to track my steps

My favorite hygiene step is:

To help me remember my pledge, I will:

My goal for this week is to:

Student Signature: ______________________________ Parent/Guardian Signature: ______________________________