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 *
Your answer
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? *
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? *
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