Check-In with Mrs. Pilolli

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Welcome to Mrs. Pilolli's Counseling Corner check-in! If you would like to connect please answer just a few questions in order to help me better understand your feelings and needs.

Thinking of you!!

Mrs. Pilolli
spilolli@greenville.k12.pa.us

What is your first name? *

What is your last name? *

What grade are you in?

Kindergarten

1st Grade

2nd Grade

3rd Grade

4th Grade

5th Grade

6th Grade

How are you feeling? *

Happy

Sad

Confused

Stressed

Angry/Aggitated

Anxious/Nervous

Other

Required

What calm down skill did you try?

Take deep breaths

Draw a picture

Count to 10

Listen to music

Dance

Exercise (jumping jacks, push ups, jog in place, etc.)

Read a book

Color a picture

Relax

After using that skill, how do you feel?

Not better at all

So much better!

Clear selection

What would be helpful for you right now? *

Individual Counselor Check-Ins (Google Meets)

Individual Counselor Check-Ins (phone)

I need a quick idea on how to handle my stress

I need a quick idea on how to solve a problem

Other:

Required

Add your contact information if you would like me to follow-up with you. (Email, phone number), but please ask your parents first! *

In the meantime you can try.....

Submit

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This form was created inside of Greenville Area School District.