child58-Original - MisterDmm

Home
For Schools
ADHD
Curriculum
KaciLea
Testimonials
Poems
Feedback
Contact

Questionnaire Ages 5-8

1. How often do you check your thoughts? (Choose One) *

Always
Sometimes
Never

2. How often do you reflect on your thoughts? (Choose One) *

Always
Sometimes
Never

3. How much of your daily thinking is positive? *

4. How much of your daily thinking is negative? *

5. How often do you use your imagination to play?

Every Day
Every Week
Every Month
Never
Not Sure

6. What else do you use your imagination for?

7. Which picture best represents your mood right now? *

Happy
Indifferent
Down

8. How often each day do you check your mood? *

Always
Sometimes
Never

9. What do you do to try to improve your mood? *

10. What new habits are you trying to create? *

11. On your list of the people you love most, what number are you? *

12. What do you love about you? *

13. Tell us about a thing you cannot do? *

14. Now tell us, WHO told you? *

15. Do you believe they were right? *

Yes
No

16. Have you tried to prove them wrong? *

Yes
No

What did you like most about the programme?

Name *

First

Last

Age *

Thank You!

© Copyright Mark Edward Duck Mister D. All Right Reserved.
Copyright Protected with www.ProtectMyWork.com