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Relax Kids: Teacher Pre - Questionnaire
Page 1 of 3
Closes
28 Jun 2024
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Introduction
1. School name:
Answer:
(Required)
2. Staff member:
Answer:
(Required)
3. Year group:
Answer:
(Required)
4. Child’s initials:
1.
None of the time
Some of the time
All of the time
Ability to express their feelings:
None of the time
Some of the time
All of the time
Ability to be calm and peaceful:
None of the time
Some of the time
All of the time
Ability to deal with anxiety and stress:
None of the time
Some of the time
All of the time
Ability to cope with feelings of anger:
None of the time
Some of the time
All of the time
Ability to openly show care/concern for themselves:
None of the time
Some of the time
All of the time
Ability to openly show care/concern for others:
None of the time
Some of the time
All of the time
Ability to stay focused on a task:
None of the time
Some of the time
All of the time
Ability to listen to instructions:
None of the time
Some of the time
All of the time
Ability to make friends:
None of the time
Some of the time
All of the time
Ability to use strategies/techniques to support them:
None of the time
Some of the time
All of the time
5. Child’s initials:
2.
None of the time
Some of the time
All of the time
Ability to express their feelings:
None of the time
Some of the time
All of the time
Ability to be calm and peaceful:
None of the time
Some of the time
All of the time
Ability to deal with anxiety and stress:
None of the time
Some of the time
All of the time
Ability to cope with feelings of anger:
None of the time
Some of the time
All of the time
Ability to openly show care/concern for themselves:
None of the time
Some of the time
All of the time
Ability to openly show care/concern for others:
None of the time
Some of the time
All of the time
Ability to stay focused on a task:
None of the time
Some of the time
All of the time
Ability to listen to instructions:
None of the time
Some of the time
All of the time
Ability to make friends:
None of the time
Some of the time
All of the time
Ability to use strategies/techniques to support them:
None of the time
Some of the time
All of the time
6. Child’s initials:
3.
None of the time
Some of the time
All of the time
Ability to express their feelings:
None of the time
Some of the time
All of the time
Ability to be calm and peaceful:
None of the time
Some of the time
All of the time
Ability to deal with anxiety and stress:
None of the time
Some of the time
All of the time
Ability to cope with feelings of anger:
None of the time
Some of the time
All of the time
Ability to openly show care/concern for themselves:
None of the time
Some of the time
All of the time
Ability to openly show care/concern for others:
None of the time
Some of the time
All of the time
Ability to stay focused on a task:
None of the time
Some of the time
All of the time
Ability to listen to instructions:
None of the time
Some of the time
All of the time
Ability to make friends:
None of the time
Some of the time
All of the time
Ability to use strategies/techniques to support them:
None of the time
Some of the time
All of the time
7. Child’s initials:
4.
None of the time
Some of the time
All of the time
Ability to express their feelings:
None of the time
Some of the time
All of the time
Ability to be calm and peaceful:
None of the time
Some of the time
All of the time
Ability to deal with anxiety and stress:
None of the time
Some of the time
All of the time
Ability to cope with feelings of anger:
None of the time
Some of the time
All of the time
Ability to openly show care/concern for themselves:
None of the time
Some of the time
All of the time
Ability to openly show care/concern for others:
None of the time
Some of the time
All of the time
Ability to stay focused on a task:
None of the time
Some of the time
All of the time
Ability to listen to instructions:
None of the time
Some of the time
All of the time
Ability to make friends:
None of the time
Some of the time
All of the time
Ability to use strategies/techniques to support them:
None of the time
Some of the time
All of the time
8. Child’s initials:
5.
None of the time
Some of the time
All of the time
Ability to express their feelings:
None of the time
Some of the time
All of the time
Ability to be calm and peaceful:
None of the time
Some of the time
All of the time
Ability to deal with anxiety and stress:
None of the time
Some of the time
All of the time
Ability to cope with feelings of anger:
None of the time
Some of the time
All of the time
Ability to openly show care/concern for themselves:
None of the time
Some of the time
All of the time
Ability to openly show care/concern for others:
None of the time
Some of the time
All of the time
Ability to stay focused on a task:
None of the time
Some of the time
All of the time
Ability to listen to instructions:
None of the time
Some of the time
All of the time
Ability to make friends:
None of the time
Some of the time
All of the time
Ability to use strategies/techniques to support them:
None of the time
Some of the time
All of the time
9. Child’s initials:
6.
(Required)
None of the time
Some of the time
All of the time
Ability to express their feelings:
None of the time
Some of the time
All of the time
Ability to be calm and peaceful:
None of the time
Some of the time
All of the time
Ability to deal with anxiety and stress:
None of the time
Some of the time
All of the time
Ability to cope with feelings of anger:
None of the time
Some of the time
All of the time
Ability to openly show care/concern for themselves:
None of the time
Some of the time
All of the time
Ability to openly show care/concern for others:
None of the time
Some of the time
All of the time
Ability to stay focused on a task:
None of the time
Some of the time
All of the time
Ability to listen to instructions:
None of the time
Some of the time
All of the time
Ability to make friends:
None of the time
Some of the time
All of the time
Ability to use strategies/techniques to support them:
None of the time
Some of the time
All of the time
10. Please advise if there are any additional comments that you wish to make facilitators aware of, regarding individual children or the group as a whole.
Additional comments
(Required)
There is a limit of 500 characters
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