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Student Check-in: Quarantine Edition
Hey everyone. I wanted to take a moment to check- in with each of you during this time. This should only take about 5 minutes to complete.
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* Indicates required question
Name (First and Last)
*
Your answer
Class
*
Choose
ASB
Period 5 PE
Period 6 PE
Period 7 PE
Advisory
Have you been outside this week? Obviously keeping social distancing in mind.
*
Yes
No
Other:
If yes, what did you do?
Your answer
On a scale of 1 to 5, how have your dietary habits been?
*
Junk food all day.
1
2
3
4
5
Way better than usual.
Name one thing you have done for yourself this week.
*
Your answer
Name one thing you have done for someone else this week.
*
Your answer
On a scale of 1 to 5, overall how are you doing?
*
I'm really struggling right now.
1
2
3
4
5
Doing great. Couldn't be better.
Anything else you would like to share? Thoughts, fears, stories, dreams, etc.
Your answer
Thank you for taking the time to fill this out. We will get through this together.
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