Check-in with your Counselor, Mrs. Foley

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Hello Suamico Panthers!
Please fill in this survey and let me know how YOU are doing! I am available if you need to chat (with your grown-ups help through email or Google Meet). Also, you can ask your teacher to reach out to me. Wishing you all well! :)

Survey Instructions!

First Name *

Last Name *

Grade level *

Kindergarten

First Grade

Second Grade

Third Grade

Fourth Grade

Today I am feeling... *

Happy, Calm, or Peaceful

Sad, Tired, Bored, or Sick

Worried, Nervous, Scared, Silly, or Excited

Mad, Angry, or Upset

Other:

All feelings are okay!! If your feelings are uncomfortable and making it hard for you to focus, you can use a calm down tool! Choose a strategy below OR make up your own! (You're welcome to share which one you used.)

What is one thing you've done today that you've enjoyed?

Would you like to chat with Mrs. Foley? *

Yes, please

No, thank you

Submit

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