District 19's Wellness Check-in
We want to know how you are doing and the best way to support you and your child(ren) during this time. Please take some time to fill out this quick survey. Thank you in advance
Students Name *
Name of Person Completing the Survey *
Relationship to the student *
Contact Number
Email
School *
How are you and your family doing? Check all that apply *
Required
We are struggling with....Check all that apply.
I wish the school would... *
Any questions.
Submit
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