Simpson Primary School Health and Wellbeing Check-in.

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Name (First and Surname) *

What class are you in? *

Who are your trusted adults in school? (At least 2)

Being Safe - How safe do you feel? *

Green - Very safe

Amber - Quite safe

Red - Not very safe

Being Healthy - How healthy do you feel? *

Green - Very healthy

Amber - Quite healthy

Red - Not very healthy

Achieving - How well do you feel you are achieving? *

Green - Very well

Amber - Quite well

Red - Not very well

Being Nurtured - How nurtured do you feel? *

Green - Very nurtured

Amber - Quite nurtured

Red - Not very nurtured

Being Active - How active do you feel? *

Green - Very active

Amber - Quite active

Red - Not very active

Being Respected - How respected do you feel? *

Green - Very respected

Amber - Quite respected

Red - Not very respected

Being Responsible - How responsible do you feel you are? *

Green - Very responsible

Amber - Quite responsible

Red - Not very responsible

Being Included - How included do you feel? *

Green - Very often included

Amber - Sometimes included

Red - Not often included

Is there anything you want to discuss with your trusted adults?

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