Dear Mommy and Daddy:
My caregiver wants to share what I did today!

Today I was:    Cheerful   Sociable   Clingy   Cooperative   Testing   Content
                         Tired   Tearful   Quiet   Vocal   Frustrated   Energetic

For Breakfast I ate:                                                  all     some     none

For Lunch I ate:                                                        all     some     none

For Snack I ate:                                                        all     some     none

Dress-Up/ Dishes/ Puzzles/ Play-Food/ Shopping Cart/Little Red Coupe/ Housekeeping/ Pillows/ Blocks/ Books/
Read Along Bears/ tape books/ computer/Flannel Board/ Balls/ Snap Beads/ Shape Sorter/ Duplos/Ride-Em Train/
Trucks Cars/ Tools & Workbench/ Stacking Rings/ See-n-Say/Musical Instruments/ Climber/ Teetor Totter/
Ride-Em Toys/ Golf/ Bowling/ Board Games/Dolls/ Puppets/ Puppet Theatre/ Tunnel/ Stuffed Animals/Cash Register/Playdough/ Lacing/ Waffle Blocks/ Farm Animals/ Weeble People/School Bus/ Disney Train/Color Forms/
Jewelry/ Folder Games/ Crayons/ Markers/ Sand Play/Water Play/ Shaving Cream/ Chalk/ Paint/ Stickers/ Stamps/

Other Activities we did today!
__________________________________________________________________________

Bowel Movements:              1  2  3  4      They were:             Normal    Loose    Hard

Naptime!
From _____________ to _____________

Special Notes from my Caregiver:_________________________________________________

Today My Caregiver gave me the following medication/s:
at the following times:              /           /           /             Each dose was: __________

Diapers_____ Ointment_____ Wipes____ Formula _____ Powder_____Baby Food_____

Clothing Item/Other:  ___________________________________________________________