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Classroom Concerns Demo
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* Indicates required question
Student Name
*
Your answer
The concern I have is in regards to:
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Getting picked on
Seeing others treated unfairly
Something happening at home
Tattling
Other
The problem is happening mostly at...
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in the classroom
recess
lunch room
bus
over the internet
PE
Art
Music
Computers
Other
Here is a short description of the problem:
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Your answer
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