My Teacher Wants To Know
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1
2
3M
T
W
K
Y
EACHER
ANTS TO
NOW
CHILD’S NAME:
DATE:
How do I let people know:
How well do I:
Not so well
Very well
I am angry or upset (example: crying, screaming, etc.)?
do in the morning?
1
3
5
do in the afternoon?
1
3
5
I am happy (example: laughing, hopping, etc.)?
do in the evening?
1
3
5
sleep?
1
3
5
I want something (example: reaching, talking, etc.)?
nap?
1
3
5
eat lunch?
1
3
5
I don’t want something (example: push away, say NO, etc)?
eat dinner?
1
3
5
play with adults?
1
3
5
I like something (example: smiling, talking, laughing, etc)?
play by myself?
1
3
5
play with another child?
1
3
5
I don’t like something (example: crying, throwing, talking, etc.)?
play in a small group?
1
3
5
play in a large group?
1
3
5
What helps me when I am:
play inside?
sad?
1
3
5
angry?
play outside?
scared?
1
3
5
What makes me angry/upset?
play with younger children?
1
3
5
play with older children?
1
3
5
What makes me happy/excited?
do when children sit near me?
1
3
5
do when children sit further away?
1
3
5
Lentini, R., Vaughn, B.J., & Fox, L. (2005). Teaching Tools for Young Children with Challenging Behavior. University of South Florida.
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