Social-Emotional Concerns Confidential Parent Survey (Optional) 2022-23
Dear JLS Parents and Guardians,

The JLS counseling team is preparing to support your students this year. Please take a moment to fill out this optional short survey regarding any social-emotional concerns you may have about your child. Our hope is that your answers will provide background information to help us support you and your child/children as we start the school year. All the information shared via this survey will remain confidential within the counseling department. Please submit by September 20, 2022.

About School Counselors:
School Counselors provide short-term school-based counseling support in the areas of academic, social-emotional and career development.  We also collaborate and consult with teachers, administrators and parents.  We develop and implement social-emotional programs for students through classroom lessons, Schoology resources, school wide initiatives and other events.  

Check out the link for more information from ASCA (American School Counselors Association).

Thank you,

The JLS Counseling Department
Adriana Flores-Ragade - 6th Grade Counselor
Carolyn Chang - 7th Grade Counselor
Arvind Arya- 8th grade counselor
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Name of parent filling out survey (First, Last) *
Student's Name (First, Last) *
Student's Grade *
Do you have any concerns about your child's social and emotional well-being that you feel would impact them during the school year? *
If yes, please explain. (Optional)
Is your child receiving outside mental health support? (Optional)
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In the last 6 months, has any member of your family experienced any of the following? (Optional)
Would you like to speak with your child's school counselor about any of the above concerns? (If you check yes, the counselor will get in contact with you.) *
If yes, what is the best email and phone number to use to reach you?
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