Check-in With Mr. Sammy
Welcome to Mr. Sammy's Safe Space  
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What is Your Full Name? (First & Last Name Please) *
What Grade Are You In? *
How Are You Feeling? *
If you selected other please describe
Circle what you already tried. Circle all that Apply *
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How do you feel now? *
Not Better at All
I feel better now!!
What would be helpful for you right now? *
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This form was created inside of Calexico Unified School District.