Counselor Check In
We miss seeing everyone here at ACMS. Just checking in to see how things are going. Please feel free to complete this form and we will follow up with you if needed.
~ Take Care
Ms. Brown and Mr. Dostal
First and Last Name
I am currently in _________ grade
In this moment I am feeling:
Do you have any concerns at this time
If you have (had) a concern did you (or are you willing to) try one of the following coping skills?
Talking to a trusted adult
Drawing/coloring a picture
I do not have a concern
After using the skill how do you feel now?
Not much better
So much better
Would you like to chat with Ms. Brown or Mr. Dostal?
No one at this time.
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This form was created inside of Gretna Public Schools.