Quick Reset Break Sheet
Quick Reset Break Sheet
Check your reason in seconds, reset, and return ready
Name:
Date:
Time:
1. Why I Need a Break (Check all that apply) Be honest with how you feel
My Body
Heart racing / tense Exhausted / sleepy Restless / can't sit still Thirsty / hungry / headache
My Feelings
Frustrated / stuck on work Overwhelmed / stressed Anxious / nervous / worried Angry / irritated / mad
My Focus
Too loud / distracting Spaced out / can't focus Need quiet personal space Eye strain / screen break
2. What I Will Do (Check 1 or 2)
Get a drink of water 5 slow deep breaths Quick quiet walk / restroom Rest head on desk / close eyes Quick muscle stretch Use calm sensory / fidget item
3. Time & Return
2 min 5 min
Ready to return on my own Need 1 min teacher check-in
Cut along line • 2 slips per page
Quick Reset Break Sheet
Check your reason in seconds, reset, and return ready
Name:
Date:
Time:
1. Why I Need a Break (Check all that apply) Be honest with how you feel
My Body
Heart racing / tense Exhausted / sleepy Restless / can't sit still Thirsty / hungry / headache
My Feelings
Frustrated / stuck on work Overwhelmed / stressed Anxious / nervous / worried Angry / irritated / mad
My Focus
Too loud / distracting Spaced out / can't focus Need quiet personal space Eye strain / screen break
2. What I Will Do (Check 1 or 2)
Get a drink of water 5 slow deep breaths Quick quiet walk / restroom Rest head on desk / close eyes Quick muscle stretch Use calm sensory / fidget item
3. Time & Return
2 min 5 min
Ready to return on my own Need 1 min teacher check-in