Student Relationship Survey
Your First Name
Your Last Name
What grade are you in?
Below are the names of adults who work in the building. Please check the names of adults that you would feel comfortable going to if you were having a problem, issue, or something else you needed to talk about. (Check all that apply)
Mrs. Jasckon (Rose)
Mrs. Jackson (Tammy)
NONE OF THE ABOVE
If there is an adult in the building that you feel comfortable talking to that was not on the above list, please list those adults below.
Think about the adult that you feel most comfortable talking to if you had an issue. Please list some reasons that you feel comfortable talking to that person.
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This form was created inside of Wethersfield CUSD 230.