Student Quick Check-in
Checking in with you because we care! While results will be kept confidential, we will follow up with individuals if you indicate you need additional support, information or resources during this unexpected situation.
Name
Your answer
Preferred Email
Your answer
How are you feeling at the time of this survey?
Feeling very down
Doing great!
How are you handling the break from your normal daily schedule?
Uneasy/Anxious
Making it work!
Are you still connecting regularly with friends?
How have you been keeping in contact with friends?
Prior to the extended school closure, how many hours per day did you typically spend on technology?
During the extended School closure, how many hours per day have you been spending on technology?
Are you feeling overwhelmed with managing peer and parent expectations?
all good here
Very overwhelmed
Are you feeling overwhelmed with the amount of news coverage on COVID-19?
all good here
Very overwhelmed
How anxious do you feel at the time of this survey?
Not Anxious
Extremely Anxious
Have you felt unsafe during the school closure?
Have you been hungry during the school closure because there isn't enough food in the house?
Is your family in need of any essential supplies, including food, water, clothes, heat, etc?
(This information is confidential. Please list anything you may need.)
Your answer
Are you worried about any of your family members during this time?
Are you worried about any of your friends?
What activities have you engaged during this extended school closure to remain active?
Your answer
Is it okay if we share theses activities with our learning community?
Would you like to see a collection of the activities that others are engaging?
Are you feeling overwhelmed or confused with your school’s expectations during break
Did your teachers provide any extended learning opportunities? *
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