138 MASS. EXPERIMENT STATION BULLETIN 241 



SCHOOL RECORD 



Name _ Born- 

 School Date.. 



UNDERLINE THE STATEMENTS WHICH ARE TRUE FOR YOU 



1. My Health. Habits 



1. I usually get up— before 6:00— about 6:30— about 7:30 

 about 6:00— about 7:00— after 7:30 



2. Before breakfast this morning — I drank a glass of water 



I did not drink any water 



3. Every day I usually drink — 1 glass of water — 3 glasses of water 



2 glasses of water — 4 glasses of water 



4. I wash my hands before eating — always 



usually 

 once in a while 



5. I u.'uaily brush n;y teeth — before going to bed 



before breakfast 

 after breakfast 



6. I usually go to bed— about 7:00— about 8:00— about 9:00 



about 7:30— about 8:30— later than 9:00 



7. I usually sleep with niy \\indow ojien — the year round 



when it is warm 



8. I usually take a bath— once a week 

 twice a week 

 less than once a week 



