Wellness Dept Survey- Spring 2020
Class Currently Enrolled In: *
Student ID # *
First Name *
Last Name *
Year of Graduation *
Please indicate by name(s) a trusted adult (teacher, counselor, nurse, secretary, custodian, etc.) in the HKHS building that you would feel comfortable approaching if you needed help. You may answer this up to 3 times (please only list 1 person per response). *
You may identify up to 3 different adults by listing one name in each of the following answer boxes. Please only put adult's LAST NAME. Adult #1:
Adult #2
Adult #3
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