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    Worksheet

    Daily Emotional Check-in

    Stoughton Counseling
    Educator Resource Hub
    Name:
    Date:

    1. How are you feeling today? (Circle one or more)

    Happy / Good
    Okay / Fine
    Tired / Low Energy
    Worried / Anxious
    Sad / Down
    Angry / Frustrated

    2. What is making you feel this way?

    3. What do you need right now? (Check all that apply)

    I need a few minutes of quiet time.
    I need to talk to a teacher or counselor.
    I need help with my work.
    I am ready to learn.
    Other: _____________________________________________________
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