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Name: _______________________________ Date: ___________________________

Self-Care: What Have You Learned?


Over the course of one week, complete all of the four self-care skills that we
learned about each day. Have a parent or family member sign their initials in the
box on each one after it is complete.

Did Monday Tuesday Wednesday Thursday Friday


I…?
Wash
Hands
Brush
Teeth
Brush
Hair
Wash
Face

On Friday, think back about the four self-care skills. Circle the face that best shows
how confident you feel about completing each skill on your own.

Washing Hands: J K L
Brushing Teeth: J K L
Brushing Hair: J K L
Washing Face: J K L
The self-care skill that I feel I can do the best is ___________________________.

The self-care skill that I need to practice the most is ________________________.

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