Check in with Mrs. Jensen
I miss seeing everyone at school. Please take a few minutes to tell me how you're doing and let me know if there is something I can do to help.
What is your email?
What is your name?
What grade are you in?
Who is your teacher?
How is everyone at home?
Which zone would you say you are in?
Blue (sad, tired, bored, nervous, sick)
Red (angry, upset, out of control, wanting to yell or hit or run, refusing to work)
Yellow (frustrated, silly, a little out of control, worried, excited)
Green (happy, focused, ready to learn, calm)
Tell me a little bit more about the zone you are in and how you are feeling.
Would it be helpful to have a check-in with Mrs. Jensen?
How can I contact you? (Please check with someone at home to make sure that you give me the best phone number or email address to reach you.)
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This form was created inside of Everett Public Schools.