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School Counselor Check-In
Hello students and families! Please fill out the questions below to help us connect with you.
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* Indicates required question
Please check the grade you are in:
*
6
7
8
Required
Student ID Number:
*
Your answer
Student First Name
*
Your answer
Student Last Name
*
Your answer
Parent/Guardian First and Last Name
*
Your answer
I would like to connect with my school counselor about (check all that apply)
*
How I am feeling
How my family is doing
Needing help with resources (things I need such as food, clothes, etc.)
Academic support
Personal Needs
Other:
Required
Lastly, is there anything you would like to say that wasn't on this form?
Your answer
Please check your school Gmail daily! Thank you for taking this survey. We hope to connect with you soon.
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