Weekly Pulse Tracker Document
Counseling Check-In Grades 6–8
Weekly Pulse Check
Session #
Academic & SEL Self-Monitoring
Student Name:
Date & Time:
Social Worker:
1. Current State & Energy Level
Circle your rating today
Battery Level: 1 (Empty) to 5 (Full)
1
Drained
2
Low
3
Okay
4
Good
5
High
Stress / Pressure: Scale 1–10
1
2
3
4
5
6
7
8
9
10
Calm & Chill Manageable Overwhelmed
Primary Vibe (Circle 1–2): Focused Anxious Confident Frustrated Restless Hopeful Tired Other: ________
2. Academic Snapshot
1 (Low) - 4 (High)
Classroom Focus
1 2 3 4
Assignment Completion
1 2 3 4
Organization / Materials
1 2 3 4
Asking Teachers for Help
1 2 3 4
3. Social & Emotional Balance
1 (Low) - 4 (High)
Friend / Peer Connections
1 2 3 4
Using Coping Tools
1 2 3 4
Managing Frustration
1 2 3 4
Sleep & Physical Wellness
1 2 3 4
4. Last Week's Goal & Win
Status: Met Partial In Progress
Goal from last session:
One win or positive moment this week:
5. Talk Tracker: Agenda with School Social Worker
Student & Counselor Space
Top concerns or situations I want to discuss today:
Coping Strategy / Action to Try:
Target Goal for Next Session:
Safety Check & 24/7 Crisis Support
Confidential & Safe
Safety Check-In (Check one):
I feel safe today I need urgent support today
Immediate Help:
Call / Text 988 (Lifeline)
Text HOME to 741741
Multi-Week Log 6-Week Progress View
Multi-Week Growth Tracker
Tracking Cycle:
Counseling Session Trends
Student Name:
Primary Skill Target (e.g., Coping Skills, Task Completion):
1. Consecutive Session Log & Metric Trends
Complete at each session
| Tracking Metric | Wk 1 | Wk 2 | Wk 3 | Wk 4 | Wk 5 | Wk 6 |
|---|
| Session Date | | | | | | |
| Energy Level (1=Empty to 5=Full) | | | | | | |
| Stress Score (Scale 1–10) | | | | | | |
| Academic Habit (1=Low to 4=High) | | | | | | |
| Coping Tool Used (e.g., breathing, walk) | | | | | | |
| Weekly Goal (Met / Partial / Unmet) | | | | | | |
2. Pattern Reflection
Looking across weeks, what trends do you notice?
When my stress was highest, it was usually because:
I had my best days / easiest classes when I:
3. My Go-To Coping Strategy Vault
Top 3 strategies that work best for me:
1
2
3
4. Social Worker Progress Summary & Next Steps
Multi-Week Review
Growth & Strengths Observed Across Sessions:
Adjusted Goals / Follow-Up Supports Needed:
Student Initials:
Social Worker Sign:
Emergency Crisis: Call/Text 988 | Text HOME to 741741
