I would love to hear about your week!
Please feel free to share anything that you would like. Let's get started with something that has gone well for you this week (Thumbs up) and something that hasn't gone that well for you (Thumbs down). If you don't feel like answering one of the questions, that's ok. Remember, always feel free to pass! If you would like to share this information with me via email or recording, that works just as well!
Name (First and Last)
What is something that has gone well for you this week? (Thumbs up!)
What is something that hasn't gone that well for you this week? (Thumbs down)
Rate how you are feeling today?
Feeling very sad or upset
Feeling very happy
Is there anything else you would like to tell me about your week?
Is there anything I can help you with?
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This form was created inside of North Allegheny School District.