18-19 EHHS Senior Exit Survey
Email address *
First name *
Your answer
Last name *
Your answer
Student ID number *
Please double check your response to ensure you input the correct student ID number. If you do not know your student ID number, fill in "0."
Your answer
Gender *
Ethnicity *
Phone number *
Please provide your phone number, so an EHHS staff member or your counselor can continue to provide texting support over the summer. Use this format "xxx-xxx-xxxx."
Your answer
Next
Never submit passwords through Google Forms.
This form was created inside of CT RISE Network. Report Abuse - Terms of Service