Student Check-In
Thank you for taking the time to check-in!  Your answers will help me know how I can best help.  You don't have to answer all the questions.  Please be honest.  There are no right or wrong answers, and I am the only one who will see your responses.
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What is your name?
What is your teacher's name?
How have you been feeling in the past week?
Who do you talk to in your family if you have a problem?
Right now I am having trouble learning because...
Is there anything going on at home or in your classroom that you would like the counselor to know about?
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