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* 1. Name:

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* 2. Were you able to complete a creative movement activity this week?

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* 3. If so, describe the activity in a few sentences.

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* 4. How many days were you able to try an activity?

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* 5. What activity would you like to do together next week?

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* 6. How comfortable are you with facilitating an activity on your own?

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* 7. What are your questions on facilitating activities on your own? Or any question in general

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