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8th GRADE - Request to see Mrs. Goodfellow
PLEASE FILL OUT THIS FORM. THE COUNSELOR WILL MEET WITH YOU AS SOON AS POSSIBLE, BUT IT MAY NOT BE TODAY.
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First Name
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Last Name
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CHOOSE YOUR CONCERN
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Anger
Conflict w/Peers
Family Issues
Anxiety/Worries
Friend/Friends
Peer Pressure
School Issues
Abuse/Harassment
Schedule
Attendance
Behavior
Study Skills/Grades
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Rate your need to see the Counselor on a scale from 1-10 (10 being right away) IF YOU FEEL IT IS A 10, PLEASE LET MS. CANGIANO THE SCHOOL COUNSELOR'S SECRETARY KNOW.
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When is the best time/class to talk with you?
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Is there anything else you want Mrs. Goodfellow to know?
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