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
Preferred Email
How are you feeling at the time of this survey?
Feeling very down
Doing great!
Clear selection
How are you handling the break from your normal daily schedule?
Uneasy/Anxious
Making it work!
Clear selection
Are you still connecting regularly with friends?
Clear selection
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?
Clear selection
During the extended School closure, how many hours per day have you been spending on technology?
Clear selection
Are you feeling overwhelmed with managing peer and parent expectations?
all good here
Very overwhelmed
Clear selection
Are you feeling overwhelmed with the amount of news coverage on COVID-19?
all good here
Very overwhelmed
Clear selection
How anxious do you feel at the time of this survey?
Not Anxious
Extremely Anxious
Clear selection
Have you felt unsafe during the school closure?
Clear selection
Have you been hungry during the school closure because there isn't enough food in the house?
Clear selection
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.)
Are you worried about any of your family members during this time?
Clear selection
Are you worried about any of your friends?
Clear selection
What activities have you engaged during this extended school closure to remain active?
Is it okay if we share theses activities with our learning community?
Clear selection
Would you like to see a collection of the activities that others are engaging?
Clear selection
Are you feeling overwhelmed or confused with your school’s expectations during break
Clear selection
Did your teachers provide any extended learning opportunities? *
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