Crisis Alert
Hopewell-Loudon School is committed to providing you with a safe learning environment. If you have a concern or know someone who has a concern and need to tell someone, please report it here. You can remain anonymous if you prefer, but it would be helpful if you gave us your name in order to provide you direct assistance. All information reported is confidential.
Are you a...
Name of self or classmate... remember this is NOT public information.
Your answer
Are you feeling...
If you or a classmate is feeling suicidal please specify...
Importance
Please tell us what we need to know about the situation.
Your answer
How would you like to be contacted?
Phone number to be reached at or text if it's your preferred contact method.
Your answer
E-mail address to be reached if it's your preferred contact method.
Your answer
Which adult would you feel comfortable talking to? This can be ANY adult in the school not just principals or teachers.
Your answer
Submit
Never submit passwords through Google Forms.
This form was created inside of Hopewell-Loudon Schools. Report Abuse - Terms of Service - Additional Terms