| | 1st Block | 2nd Block | 3rd Block | 4th Block | 5th Block | 6th Block |
| Monday
| | | | | | |
| Tuesday | | | | | | |
| Wednesday | | | | | | |
| Thursday | | | | | | |
| Friday | | | | | | |
Record the amount of times you laugh each block during the school week with tally marks. If you laugh during a passing period record those laughs in the class after that passing period. (For example, if you laugh in between third and fourth hour, those laughs will be recorded in fourth hour.) If you laugh during lunch also record those laughs in fourth hour if you have first lunch and fifth hour if you have second lunch.
How I feel at the end of the day:
Monday-
Tuesday-
Wednesday-
Thursday-
Friday-
(Include how stressed you feel and anything that you feel made you feel that way at the end of the day)
Write in your grades in each class:
(For the rest of the questions, if you have a Monday-Wednesday- Friday class or a Tuesday- Thursday class in the same block, just write a M next to the Monday-Wednesday-Friday class and a T by the Tuesday-Thursday class.)
| 1st | 2nd | 3rd | 4th | 5th | 6th |
| | | | | | |
Now on a scale from 1 to 10 rate, how much you like each class:
| 1st | 2nd | 3rd | 4th | 5th | 6th |
| | | | | | |
Now write the grades you want in each class:
| 1st | 2nd | 3rd | 4th | 5th | 6th |
| | | | | | |
Thank you for participating in my survey!
