Parent/Guardian Survey: School-Based Therapy Program
Name and phone number are optional. You may also send feedback to info@wellnesstogether.org. If you are experiencing an emergency and need immediate assistance, please dial 911.
Which school district does your student attend? *
Your answer
Which school campus did your student attend at the time of referral? *
Your answer
Please choose the grade your student was in when he/she received services. *
What is the last name of your student's assigned school counselor (if applicable)? *
If you don't know, please type "I don't know"
Your answer
What is the first and/or last name of the SBT your student met with weekly? *
If you don't know, please type "I don't know".
Your answer
Approximately, how many weeks did your student meet with a School-Based Therapist? *
Would you recommend this program to another parent/guardian for their student? *
What did you like about this program, and why? *
Please share with us what was most valuable for you and/or your student, and why.
Your answer
Is there something about this program you would like to see changed? *
If you answered yes above, please share with us what you would like to see changed.
Your answer
Your Name
Optional
Your answer
Your Phone Number
Optional
Your answer
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