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Hi there. I would love to just see how you are doing and what you have been up to, so please take a few minutes to fill out this survey.
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* Indicates required question
First & Last Name
*
Your answer
Which word best describes how you have been feeling this week?
*
HAPPY
SAD
UPSET
SILLY
My favorite stay at home food(s) has been... (Check all that are true)
*
Cereal
Sandwiches
Pizza
Chips
Other
Other:
Required
Activities that I have been enjoying are... (Check all that are true)
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Spending time with my family
Playing games
Watching T.V.
Playing with my toys
Reading
Playing video games
Drawing
Other:
Required
What is the best show, movie, or book you have watched or read since being at home?
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Your answer
We know this is a challenging time, but what is one thing you are grateful for right now.
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Your answer
How did you feel about your assignments last week?
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Difficult to understand
1
2
3
4
5
Easy to understand
Is there anything else you would like to tell me?
*
Your answer
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