[SAMPLE] Home Learning Student Check-In: Middle/High School
Please let me know how you are feeling today. I care about you and will support you as we complete our at-home learning.  Please answer honestly so I will know how to best help you.  Be safe and well!
Sign in to Google to save your progress. Learn more
Name:
How are you feeling today?
Clear selection
Which one of these feelings best describes you today?  (You may pick several)
Why do you think you are feeling this way today?
Do you want to talk to someone from school?
Clear selection
Who would you prefer to talk to at school?
How can we help you today?
What suggestions of fun activities do you have for student group meetings that might provide a happy distraction for us?
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Chicago Transom Partners. Report Abuse