Worried about something?
Please write down any concerns that you have in the space below. This is a safe space where you can talk to us about something that may be worrying you.
This may be linked to:

A friendship issue in school
Bullying behaviour
A worry outside of school (at home)
Your work

This information will go straight to a member of staff who can help you to make the situation better. If you could remember to include your name, we can ensure that we can speak to you to ensure that everything is okay.

If ever felt that you were in danger, we may have to speak to other people to keep you safe.
What is your name? *
Your answer
Write down your worries here. *
Your answer
Submit
Never submit passwords through Google Forms.
This form was created inside of Christ Church C of E Primary School. Report Abuse