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Elementary Minute Meeting
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Student Name (last name, first name)
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Teacher
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Grade
K
1
2
3
4
5
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How do you feel about school?
Terrible
1
2
3
Good
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How do you feel about home?
Terrible
1
2
3
Good
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How do you feel about friends?
Terrible
1
2
3
Good
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How do you feel about yourself?
Terrible
1
2
3
Good
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Do you try your best in school?
Yes
No
Sometimes
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Do you ask for help when you need it?
Yes
No
Sometimes
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If you had problem at school, who would you talk to?
Your answer
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