Healthy Kids
Name : _____________________________________________________ Excellent Satisfactory Poor Hand Washing: Wet hands prior to washing: Used Soap: Washed for at least 20 seconds: Rinsed Hands: Dried hands with towel: Turned off water with towel:
_____ _____ _____ _____ _____ _____
______ ______ ______ ______ ______ ______
____ ____ ____ ____ ____ ____
Teeth Brushing: Wet toothbrush: _____ Brushed all teeth in a circular motion: _____ Rinsed mouth after brushing: _____
Excellent
Satisfactory ______ ______ ______
Poor ____ ____ ____