JS Wellness Survey
Dear Families and Students,
During these stressful and unsettling times, we understand the challenges that the changing landscape of our online learning and quarantined home life brings. We are reaching out to you to ascertain how things are going for you in terms of learning, social-emotional wellbeing and connection to others. We understand that all those aspects will inherently be challenged during these times. Therefore, the purpose of this survey is to check in with you to see if and what areas you can use support. This survey will be seen by your counselor/school psychologist and will be read with the sole purpose of guiding towards support.

Thank you for taking the time,
The JS Student Support Team
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Your full name and email *
First and last Name of child(ren) *
Please add the grade of your child after each name that you list.
Which grade(s) does/do your child(ren) attend at UNIS? (Click all that apply) *
Required
Are the adult(s) in the household currently working from home? *
If you have any additional information to add about adult(s) working from home, please elaborate below.
Are any adult(s) in the household currently working as a first responder or in the medical field?
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Are you currently dealing with the loss of and/or care of a loved one?
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How are you and your child(ren) managing the online distance learning workload?
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Please share any additional information about your child(ren) and/or any special needs during distance learning.
How is your child(ren) feeling during distance learning?
Child 1 is the first child you wrote in the second question above. Child 2 is the second child you wrote above. etc.                      Please click all that apply for each child.
Sad/bummed
Stressed/worried
Doing okay!
Doing Great!
Would like a check in
Child 1
Child 2
Child 3
Child 4
If you have a problem today, you can use a mindfulness strategy. Which strategy did you try? (Answer below)
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What does your child(ren) miss most about school?
Has your child(ren) been able to connect with peers (eg., FaceTime, phone, chats, etc.) since engaging in distance learning?
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As a parent, what is the most challenging aspect of distance learning for you?
Please share any positive feedback you may have in the comment box.
Would you like a follow up with your Counselor/School Psychologist?
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