Lockyer's Middle School - `Share a worry` form
If there is something worrying you at the moment, please use this form to let an adult in school know. This is confidential and will only be seen by Mr Mockridge, Mrs Whittaker and Mrs Pugh.

Your worry may mean we perhaps talk about a topic in assembly or during tutor times or it may be just something we can support you with directly. We will always come and talk to you soon after you have posted your worry, but if it is something serious which needs immediate action, please find the confidence to come and talk to one of us in person. 
Sign in to Google to save your progress. Learn more
Full name *
Year Group *
Please write your worry below *
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Initio Learning Trust.

Does this form look suspicious? Report