Show the students a picture of patients waiting in a hospital. Ask them where they think that is and why those patients are there.

Hand out the "Mystery Bug at the Royale" handout. Let the students read the text and choose the best verb form to complete sentences 1-8. Mystery Bug at Royale Twenty people were brought into the Heath Infirmary last night suffering from acute stomach problems. The health authorities have ruled out food poisoning. All the patients had been to the late show at the Royale Cinema but none of them had bought anything to eat at the cinema shop. Some of the patients claim they smelt gas, but no traces of gas were found. It was later discovered that all twenty patients had drunk from the water fountain using the plastic cups provided. 1. It must/can't have been food poisoning. 2. The cinema might / must be having problems with its air-conditioning. 3. The popcorn in the cinema kiosk can't/could be the source of the problem. 4. Their symptoms can't/must have been caused by a gas leak. 5. It could/must be either the water or the cups. 6. The cups might/can't have been dirty. 7. Or the water fountain itself may/must be in need of maintenance. Let them work alone and then get peer check.

Draw a u-shaped cline on the board and put 100% positive and 100% negative at the ends. Tell the students to work together and give them the following 4 sentences printed out on separate pieces of paper. 1. It can’t have been food poisoning. 2. It must be either the water or the cups. 3. The cups might have been dirty. 4. The water fountain itself may be in need of maintenance. Let them discuss as a whole class and decide where to stick the sentences on the cline. Then move onto CCQs to check the meaning and go through the form and pronunciation.

Handout a conversation of three friends talking about their missing friend. Tell the students to read, find and correct the four mistakes in the verbs in italics. Let them do it with their partners and check with their groups. If time allows assign everyone a role and let them read it together.

Give the handout to the students. The handout has three sick kid photos. One with broken limbs, one throwing up and one sick in his bed. Let the students write three sentences about each kid. Provide them with an example and start off two sentences for them to guide them further. Let them do this with their partner and then share their ideas with the classroom. Funnier the answers, the better!