Wellness Department Survey
Email address *
Name (Last, First) *
Your answer
What grade are you currently in? *
Which class are you currently enrolled in? *
If you are enrolled in health, which class period are you in enrolled in?
If you needed help, is there a trusted adult (teacher, counselor, nurse, secretary, custodian, etc.) in the school building that you would feel comfortable approaching? *
How likely would you be to approach this adult to share an issue or accomplishment? *
Please indicate by name who this trusted adult is? *
Your answer
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