1. 1

    Gather a small group.

  2. 2

    Say: 'Sometimes I feel a sneeze coming. Watch what I do.'

  3. 3

    Turn your head away from the group and the table.

  4. 4

    Bend your arm and put your nose and mouth into the bend of your elbow. Make a pretend sneeze into it.

  5. 5

    Show the same with a tissue: take one, cover your nose and mouth, pretend to sneeze, then put the tissue in the trash.

  6. 6

    Wash your hands after using a tissue.

  7. 7

    Invite each child to practice a pretend cough into the elbow.

What catches the child’s eye

  • Nose and mouth tucked into the bend of the elbow
  • Turning away from the group first

Extensions, easiest to hardest

  1. Step away from the snack table before a sneeze
  2. Show a friend the elbow as a kind reminder
  3. Cover a yawn with a hand

Control of error

A hand used instead of the elbow or a tissue is wet afterward and must be washed, which the child notices.

Ready to move on when the child…

  • Coughs and sneezes into the elbow without reminders
  • Turns away from people and food first
  • Washes hands after using a tissue

Try “pink tower”, “tummy”, “diaper”, “grace and courtesy”, or “October”.