Middle School Student Check In
The Counselors want to see how you are doing during the school closure.
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First and Last Name *
Email *
Phone Number *
On a scale of 1-10 (1 is horrible, 10 is perfect), how are things going at home? *
Name one thing you are struggling with while at home *
Do you need to talk to a counselor? *
List any other any other student at Pioneer who you feel needs to talk to a counselor. Your name will remain confidential.
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