Wellness Dept Survey- Spring 2020

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Class Currently Enrolled In: *

D: Health - Baklik

E : Lifetime Fitness - Sears

E: Health - Baklik

D: Advanced Foods- Siciliano

F: Advanced Foods- Siciliano

B: Lab Experience- Kohm

C: Internship- Kohm

C: Infant and Toddler Growth & Development- Kohm

D: Internship- Kohm

D: Infant and Toddler Growth & Development- Kohm

E: Lab Experience- Kohm

Student ID # *

First Name *

Last Name *

Year of Graduation *

2020 current Senior

2021 current Junior

2022 current Sophomore

2023 current Freshmen

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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