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I need to see the counselor!
For PK, K, and 1st Grade Students
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First Name, Last Name
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Your answer
Grade level
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Pre-K
Kindergarten
1st Grade
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I am feeling
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Happy
Sad
Angry
Nervous or worried
Other:
I want to talk to the counselor about . . .
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Family- Parents, brothers/sisters, cousins, home, neighborhood, etc.
Friends: I don't have friends; someone is bothering me; I feel lonely, etc.
School: my teacher, my classmates, school work, etc.
I need help: I need food, clothes, school supplies, etc.
Other:
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