JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Check In with Ms. D
Sign in to Google
to save your progress.
Learn more
* Indicates required question
What is your first and last name?
Your answer
On a scale of 1 to 5, how are you feeling today?
😊 Best day ever!
1
2
3
4
5
😥 Not a great day
Clear selection
How are you feeling about your school work today?
Good, I got this!
1
2
3
4
5
Not so good, I feel overwhelmed.
Clear selection
What would like to share? (*Anything you share will be seen by Ms. D only, and no one else)
Your answer
Tell me something you are doing at home that's fun! (playing video games, going outside, listening to music, etc)
*
Your answer
Would it be helpful to check in with you today?
Yes, a phone call would be helpful
Yes, an email would be helpful
No thank you
Other:
Clear selection
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Greenport UFSD.
Does this form look suspicious?
Report
Forms
Help and feedback
Help Forms improve
Report