Virtual Check-In

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Virtual Check-In

Please answer the following questions and press submit at the bottom when you are finished.

Name *

Date *

YYYY

Did you eat breakfast or lunch today?

Yes

Clear selection

How are you feeling today? *

Happy

Excited

Sad

Anxious

Worried

Hungry

Silly

Tired

Lonely

Bored

Overwhelmed

Other:

Required

Please give a few details as to why you feel that way. *

What book are you reading today?

How are you feeling about distance learning on a scale of 1 to 6?

1= I am on track, and all my work is complete so far

2= I am doing okay, I have done some work, but still working on a few things

3= I have done a little, but I am definitely falling behind

4= I have hardly done any because I have other responsibilities

5= I have hardly done any because I don't wnat to

6= I have hardly done any because I am so confused

Clear selection

Today I am planning to (list school plan)

What are your goals for the week?

Today I am planning to (list something fun you are going to do) *

It would be helpful if the following checked in with me. Check all that apply, We will do our best to check in with you today. You may also email the person. *

Advisory Teacher

ELA Teacher- Ms. Vaughn, Ms. Moore, Ms. Avalos

Social Studies Teacher- Ms. Shea, Mr. Tsichlis

Math Teacher- Mr. Guyer, Ms. Remulla, Ms. Doyle, Dr. Branch

Science Teacher- Ms. Semereau, Mr. Molenkamp, Mr. Khalil

STEM Teacher- Mr. Molenkamp, Ms. Doyle

PE Teacher - Coach Casey Wilson

Art Teacher- Ms. Modaff

Music Teacher- Mr. Illko

School Counselor- Mrs. Hopkins, Ms. Szczubelek

School Psychologist- Ms. Maigan

Principal- Dr. Branch

Dean of Students - Ms. Zendejas

Other:

Required

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