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Level 2Week 4ReadingGrammarVocabulary

Ask the school nurse: healthy habits with should and shouldn't

Children read two letters to the school nurse and her replies, notice how should and shouldn't give advice, then write advice for a friend.

Ages 8 to 12A1 to A260 minutesChecked 7 November 2026

At a glance

From
Level 2, Moving Up English: Week 4, Health
Grammar
What's the matter? should / shouldn't
Key language
You should drink more water. / You shouldn't play games late at night. / sleep, exercise, fruit and vegetables, screen time, stay active, feel tired
Children make
Four pieces of written advice for a friend with a problem.
Class size
Works with 10 to 50 children; pair and group steps say how to scale.

Objective

Children read a short advice text, understand should and shouldn't, and give advice using them.

Success criteria for children

  • I can find advice in a text.
  • I can say what someone should and shouldn't do.
  • I can write advice for a friend using the base verb after should.

Timing: 60 minutes

MinutesStageWhat happens
0 to 6Warm-up: healthy or unhealthy?Children stand on one side of the room for a healthy habit, the other for unhealthy.
6 to 16Teach should and shouldn'tUse should to give advice; shouldn't for advice not to do something.
16 to 28Reading: the problem pageGist, then detail, then underline the advice.
28 to 40Practice: advice and problemsWorksheet tasks 1 and 2: gaps and matching.
40 to 48Speaking: be the nurseOne child gives a problem, the partner gives advice.
48 to 55Writing: advice for a friendTask 3: four sentences for a friend's problem.
55 to 60Exit ticketOne should and one shouldn't sentence.

Materials

Step by step, with teacher talk

0 to 6 minWarm-up: healthy or unhealthy?

  1. Call out habits: eat an apple, sleep ten hours, drink lots of fizzy drinks, play outside, stay up very late. Children move to the correct side and give a reason in their own words.

6 to 16 minTeach should and shouldn't

  1. Write a problem: "I feel tired." Ask for advice and write answers as: You should go to bed early. You shouldn't play games at night.
  2. Underline should/shouldn't and the base verb after it. Point out: no -s (He should sleep, not "he shoulds").
  3. Quick drill: say a problem (I've got a headache; I've got toothache; I'm always hungry at break); children give one should and one shouldn't sentence.
Teacher talk

"Should is for advice. It's a good idea. Shouldn't is not a good idea."

Concept-check questions
  • "You should drink water." Is it a good idea or a bad idea? (Good.)
  • Do we say "She should to rest"? (No: she should rest.)

16 to 28 minReading: the problem page

  1. Gist: "Who writes letters? Who answers them?" Read the page aloud once.
  2. In pairs, children answer the five questions below the text, then underline every should and shouldn't.

28 to 40 minPractice: advice and problems

  1. Children complete tasks 1 and 2. Check in pairs, then as a class.

40 to 48 minSpeaking: be the nurse

  1. Pairs take turns: "I never have breakfast." "You should..." Remind them to give at least one should and one shouldn't each turn.

48 to 55 minWriting: advice for a friend

  1. Children choose one problem from the box and write four pieces of advice.

55 to 60 minExit ticket

  1. See below.

Differentiation

Support

  • Give a bank of verbs: drink, eat, sleep, play, walk, brush.
  • Children write only three pieces of advice and copy the nurse's pattern.

Stretch

  • Add a reason with because: "You should sleep more because your brain needs rest."
  • Add "ought to" as another way to give advice.
  • Design a small poster, "Five healthy habits for our class".

Reading passage

An original problem page. The advice is general and matches NHS guidance for children: regular activity, a balanced diet and enough sleep.

Reading passage: Ask Nurse Brook (school magazine)

Dear Nurse Brook, I am always tired at school. I play video games until very late and then I can't get up. What should I do? Ben, age 10

Dear Ben, Your body needs sleep to grow and your brain needs it to learn. You should turn off your games an hour before bed, and you should go to bed at the same time every night. You shouldn't use a screen in bed. Try reading a book instead. You'll feel better in a week.

Dear Nurse Brook, I get hungry at break and I always eat sweets. Then I feel bad in class. Help! Mia, age 9

Dear Mia, You should eat some fruit or a sandwich with your breakfast, so you aren't so hungry. At break, you should take a piece of fruit or some cheese. You shouldn't stop sweets completely; just have them sometimes. And you should be active every day, for about an hour in total: running, dancing, cycling, playing football. It helps your body and your mood.

Questions

  1. Why is Ben tired at school?
  2. What should Ben do an hour before bed?
  3. What shouldn't Ben use in bed?
  4. Why does Mia feel bad in class?
  5. How much activity should Mia do every day?

Printable worksheet

Prints on its own A4 page. Use Print the worksheet above, or print the whole plan and the worksheet starts on a new page. One copy per child, or one per pair to save paper.

Litlings Free English · Level 2 · Week 4NameDate

Healthy habits

1. Write should or shouldn't.

  1. You drink lots of water every day.
  2. You eat sweets for every meal.
  3. You go to bed at the same time each night.
  4. You play games all night.
  5. You do some exercise every day.

2. Match the problem to the best advice.

1. I've got a headache.●●a. You should see the dentist.
2. I'm always hungry at break.●●b. You should drink water and rest.
3. I can't sleep.●●c. You should read a book, not use a screen.
4. My teeth hurt.●●d. You should eat a good breakfast.

3. Give advice. Choose one problem and write four sentences with should or shouldn't. Problems: A friend feels sad and stays inside all day. A friend never drinks water. A friend is tired in the morning.

Free to copy for classroom use.english.litlings.com/lesson-plans/healthy-habits-should-shouldnt-reading-lesson/

Answer key

Reading passage questions

  1. He plays video games until very late.
  2. Turn off his games.
  3. A screen.
  4. She eats sweets at break because she is hungry.
  5. About an hour in total.

Worksheet

  • 1: should; shouldn't; should; shouldn't; should.
  • 2: 1b (headache: drink water and rest); 2d (hungry at break: eat a good breakfast); 3c (can't sleep: read a book, not use a screen); 4a (teeth hurt: see the dentist).
  • 3: answers will vary. Check should/shouldn't plus a base verb and sensible advice.

Exit ticket

Write one thing a child in your class should do every day to be healthy, and one thing they shouldn't do. Use should and shouldn't.

Homework

Make a "Healthy week" chart: write one should thing for each day (for example, Monday: drink six glasses of water). Show it to someone at home.

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