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"I Would Like to See My School Counselor" Form
Please fill-out the form below if you would like a check-in. Need help right away? Please talk to a trusted adult. Ms. Kristen :)
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* Indicates required question
Name (first and last):
*
Your answer
Teacher's Name:
*
Your answer
I would like to talk about:
*
A friend/other kids
School
Family/home
Celebration
Other:
Required
I need to talk to you:
*
Sometime this week (small problem)
Sometime today or tomorrow (medium problem)
Right away! (BIG problem) *Please talk to a trusted adult if you need help right away.
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