School
Friends
About You
Family
Miscellaneous
100

What is your favorite subject in school? (Lunch does not count) & What is your least favorite subject in school?

My favorite subject in school is.../My least favorite subject in school is...

100

Who is your best friend? What makes them your best friend?

My best friend is.../ They are my best friend because...

100

What is your favorite color?

My favorite color is...

100

How many brothers and sisters do you have?

I have...

100

What are you really good at?

I'm really good at...
200

Who is your favorite teacher and why?

My favorite teacher is ________ because...

200

Do you consider yourself a good friend? Why or Why not?

I consider myself a good friend because.../I don't consider myself a good friend because...

200
Do you like to play video games or play sports?

I like to play video games/I like to play sports

200

Who do you live with?

I live with...

200

What do you hope to accomplish in therapy with Ms. Doelker?

I hope to accomplish...
300

What happens in school that makes you afraid? Frustrated? Defeated?

What makes me afraid/frustrated/defeated in school is...

300

What do you like to do with your friends?

I like to do ____________ with my friends.

300

What do you normally do for fun after school?

What I normally do for fun after school is...

300

What does you and your family do on the weekends together?

My family and I do...

300

What are activities or tasks you do not prefer in school?

The activties/tasks I do not prefer in school are...

400

What motivates you to work hard?

What motivates me to work hard is...

400

What qualities in a friend you feel are important?

The qualities in a friend I feel are important are...

400

What are your hobbies? What do you do for fun?

My hobbies are.../What I do for fun is...

400

How do you help out around the house?

I help out around the house by...

400

What coping skills do you use when there are activties or tasks you do not prefer?

The coping skills I use when there are activities or tasks that I do not prefer are...

500

What are your goals for this school year?

My goals for this school year are...

500

Is it easy for you to make friends? Why or Why not?

It is easy for me to make friends because.../It is not easy for me to make friends because...
500

What are three words to describe you?

Three words to describe me are...

500

What are the interests of your family members?

The interests of my family members are...

500

How do you cope when you're upset?

How I cope when I'm upset is by...