Online Student/Parent Check-In
Since we have been out of school due to COVID-19, I would really like to know how you are doing. I miss all of you! Please fill this out and let me know how you are. This can be a difficult time for all of us, but we want you to know there are resources and people to help you out if you need it. For more counseling information and resources, please go to https://tichelaars.wixsite.com/moe-counseling

Thinking of you. - Ms. T.


Note: All answers remain confidential, unless you or someone else is in danger. If you would like me to contact you, please check your e-mail regularly.
Student/family name: *
I am the: *
Grade: *
Required
What is your best contact number or e-mail? *
How are you? *
I am struggling
I am doing great!
Click on the picture that best describes you this week: *
Required
My biggest question right now is: *
I am wondering about... *
I could use help/support with: *
How is online learning (Google Classroom, DOJO, etc.) and home packets going? *
What I like about being home: *
What is difficult for me at home: *
Are you able to pick up school lunches at MOE? *
I would like to schedule a private Zoom meeting with Ms. T.
Clear selection
What would you like Ms. T. to teach you/your class? *
I would like some more information on..... *
I am connected with Ms. T. via: *
Required
I would like the school counselor to contact me: *
Submit
Never submit passwords through Google Forms.
This form was created inside of Lake Chelan School District. Report Abuse