School Attending School Name* Grade Leve*
New friendships or changes in social circle? New friends Yes/No New Social Circle*
Average hours of sleep per night:Weekly Hours of Sleep per nightWeekend Hours of Sleep * per night
Daily average screen time: HoursCell PhoneGaming Console*
List activities participated in this month:First Activities*Second Activities
Areas of Concern Please note any concerns about your child's behavior, academic performance, or well-being:
Positive Developments Please share any achievements, improvements, or positive changes you've noticed: 1. *2.