NES SM Mobile Activity Log Date of Session * MM DD YYYY Child's Name * Mentor Name * What 2-3 activities did you choose from the PECS menu? * Did your child complete their work book activity? * Yes Mostly No In thinking about the areas of life skills (responsibility, self-esteem, healthy relationships, emotional awareness, independence, & self-regulation). Where there any noticings of these skills challenged or developed today? * Any questions or concerns from today? In thinking about the 60 minutes you spent with your kiddo. What percent would you say they experienced peace? * 0% 25% 50% 75% 100% In thinking about the 60 minutes you spent with your kiddo. What percent would you say they experienced joy? * 0% 25% 50% 75% 100% Did your participant experience a moment(s) of peace and/or joy during your session? * Yes No Describe the moment(s) of peach and/or joy. Thank you for your time! You’ve made a difference today. Thank you for showing up for these kids and investing!!