Wise-Up Pre-evaluation

Child's Name(*)
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Your Email(*)
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Date
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Please rate the following:
1) Overall how much self-confidence does the child have?
(1= no self-confidence e.g. they don’t believe in their abilities and are too afraid to try new things, 10= child has high self-confidence e.g. child easily tries new things and is very confident in a range of situations).
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2) Overall how high or low is the child’s self-esteem?
(1= extremely low self-esteem e.g. they don’t feel good about who they are or value themselves, 10= child has high self-esteem and is very happy/content in themself and who they are).
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3) How well is the child using coping strategies to relax when they are feeling hard emotions such as worry, anger or sadness?
(1= child uses no strategies and cannot calm down easily, 10= child often uses strategies to help calm themselves down and relax without caregivers guidance).
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4) How would you say things are going at school for them?
(1= they are not self-managing when they feel hard emotions or they have no confidence at school, 10= they are extremely confident and they are able to self-manage when they feel hard emotions at school).
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5) How would you say things are going at home for them?
(1= they are not self-managing when they feel hard emotions or they have no confidence at home, 10= they are extremely confident and they are able to self-manage when they feel hard emotions at home).
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6) How well are they self-managing when they feel anxious or worried?
(1= they are unable to self-manage and this stops them from doing normal day to day activities, 10= they are always using strategies to help calm themselves when feeling this way and their worries don’t keep them from doing everyday things).
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