High School Request for Social Emotional Learning Support

Social and emotional learning (SEL) is the process through which students understand and manage emotions, set and achieve positive goals, feel and show empathy for others, establish and maintain positive relationships, and make responsible decisions.  

Thank you for taking the time to take this survey!  Your answers will help me make sure that you and your classmates feel safe and cared for.  I am the only person who will know what answers you give, so please answer honestly. If you need additional support in this area, please complete the form below.

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What times are you available?                                     *Please select all that apply *
Morning
Midday
Afternoon
Monday
Tuesday
Wednesday
Thursday
Friday
Student Name *
Student email address *
School
How are you feeling today?
Clear selection
What questions do you have about school or life in general right now that I can answer?
What concerns of you have that might limit your ability to engage in learning activities over the next few weeks (e.g. responsibility for taking care of a family member, needing to share computer access with others in your house, etc.)?
Items to discuss?
What can I do to better support you today?
Submit
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