I would like to meet with Miss P, please.
Please complete the information below if something is getting in the way of your learning.  I will receive notice and make a plan to see you as quickly as I am able!  PLEASE NOTE:  If this form is completed over the course of a weekend, holiday, or school break, Miss P. will receive notice of the message on the day we return to school.

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Email *
First Name *
Last Name *
Teacher *
What feeling do you need help with today? *
I want to talk about... *
On a scale of 1-10 ("1" meaning it's not a problem at all and "10" meaning it's a big problem), how much are these thoughts and feelings getting in the way of learning today? * *
Not a problem at all
Huge problem
A copy of your responses will be emailed to the address you provided.
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