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How Are You Feeling Today?
* Indicates required question
Name
*
Your answer
Who is your teacher?
*
Ms Shelby
Ms Courtney
Mrs. Hanon
Mrs. White
Mrs. Hembree
Mrs. Beggs
Mrs. Katana
Mrs. Kaye
Ms Posl
Mrs. Burker
Mrs. Riccomini
Mr. Garcia
Today I am feeling.....
*
Happy
Bored
Calm
Confused
Sad
Worried
Angry
Something else?
Please describe WHY you are feeling the way you do.
*
Your answer
Do you want to talk to a school counselor?
*
Yes
No
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