Name:

Age:

Me and

My World

Children & Young People’s PartnershipPartneriaeth Plant A Phobl Ifanc

My name is

I was born on

MY BEST BITSMy favourite colour is

My favourite animal

My favourite music is

My favourite food is

My favourite band is

My favourite clothes are

My favourite TV Show is

My favourite sport is

If I was an animal, I would be

If I was a character from a book, film or TV programme, I would be

1

Look in a mirror and draw what you see

2

My Family / Who lives with me…

3

Important people in my life

a little important

very important

quite important

4

People who care about me

5

My Health

Illnesses I can remember

I am usually healthy Sometimes I worry about my health

I am ill sometimes I worry about my family

I am often unwell My family causes me no worries

I wake up in the night Sometimes I just worry about things

Mostly I feel well Things I do can make my family really unhappy

I take a long time to get to sleep I am lucky

I usually eat all of my meals I have lots of friends

I hardly ever eat all meals Some people don’t like me

Being ill stops me from doing things I want to do Most people like me

ChangesWhat changes (GOOD or BAD) have happened in my life that I can remember?

GOODBAD

Which of these is true?

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My School

What I like most at school ....

My best day at

school was ....

My favourite subjects ....

My favourite teachers ....

What I don’t like about school ....

Who helps me most at school ......

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My ideal school day

Lesson

Break

Lesson

Lunch

Lesson

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How I like to spend my weekends

Friday evening

Saturday

Sunday

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Things I am good at and proud of

10

Feelings

Mostly I am

Happy Sad Scared Angry

What makes me happy? What makes me sad?

What makes me scared? What makes me angry?

11

What bugs me

People who bug me and why?

Things I am supposed to do and don’t want to and why?

Things I like to do, but others stop me

12

Hopes and wishes

Things I want to try for the first time

Things I’d like to do more often

If I were a King or Queen, I would…

When I grow up I’d like to…

If I were a millionaire I would…

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My challenges, hurdles and solutions

Things I find difficult

What would make them easier

If I had a magic wand, these are the things I’d change

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These things would help me change

Helping Each OtherThings I know are true:

Everyone needs a little help ..............................................................

It’s good to help others .......................................................................

It’s a waste of time helping others .................................................

You shouldn’t trust friends .................................................................

I am worth getting to know ...............................................................

I am a nice person ................................................................................

I want to be better than I am now .................................................

I’m happy just the way I am .............................................................

I have good friends ..............................................................................

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Thank you

Signed:

Thank you for letting me into your World and letting me learn things about you

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Me and

My World