Parent/Family Check In

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The well-being of our students and families is our top priority. We know personal and professional situations are changing daily. We are using this brief check-in to see how our students and families are doing and to provide support, if needed. Please do not hesitate to reach out if you need additional support.

El bienestar de nuestros estudiantes y familias es nuestra principal prioridad. Sabemos que las situaciones personales y profesionales cambian a diario. Estamos usando este breve registro para ver cómo les está yendo a nuestros estudiantes y familias y para brindar apoyo, si es necesario. No dude en comunicarse si necesita ayuda adicional.

Your First and Last Name - Tu nombre y apellido *

Children's Name and Grade - Nombre y grado de los niños *

What is the stress level in your home right now? - ¿Cuál es el nivel de estrés en su hogar en este momento? *

5: We are doing great! Stress is low. - ¡Lo estamos haciendo genial! El estrés es bajo.

4: Pretty good, nothing we can't handle. - Bastante bueno, nada que no podamos manejar.

3: Just okay. There are good and bad days. - Esta bien. Hay días buenos y malos.

2: We are feeling pretty stressed. - Nos sentimos bastante estresados.

1: Not good. This is more than we can handle. - No está bien. Esto es más de lo que podemos manejar.

What factors are contributing to your household stress or the stress of your children? - ¿Qué factores contribuyen al estrés de su hogar o al estrés de sus hijos?

Is your family in need of any resources or support? (Check all that apply) - ¿Su familia necesita algún recurso o apoyo? (Marque todo lo que corresponda) *

Nothing needed at this time

Help with my children's schoolwork

School supplies

Access to technology

My child(ren) needs to talk to someone

Access to mental health support

Food assistance

Assistance with paying utilities, housing, etc.

Other: Please describe in comments below

Required

Preferred phone number and/or email address - Número de teléfono preferido y / o dirección de correo electrónico *

Would you like the social worker to contact you? ¿Quiere que el trabajador social se comunique con usted? *

Yes

If you would like the social worker to contact you or would like any support, please include the best way to contact you. - Si desea que el trabajador social se comunique con usted o desea recibir apoyo, incluya la mejor manera de comunicarse con usted.

What is the best time of the day to contact you? - ¿Cuál es el mejor momento del día para contactarlo?

8:30-10:30am

10:30-12:30pm

12:30-2:30pm

2:30pm-4:30pm

Clear selection

Any other comments:

Submit

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