Counseling Services Hawk Ridge Elementary Parent Survey

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This parent survey will help the student services staff at Hawk Ridge Elementary plan for and meet the needs of all students and families during this time. All answers will be kept confidential. Thank you in advance for your time! Please fill out one PER CHILD.

Please tell us your child's name and grade level. *

What concerns do you have about school this year? Please choose all that apply. *

I am concerned about my child's academic progress.

I am concerned about my child's mental health due to Covid-19 restrictions.

I am concerned about my child's mental health for reasons other than the pandemic.

I am concerned about meeting basic needs for my family. (Food, paying bills, housing, etc.)

I am concerned about my child's reaction to recent family changes.

I have no concerns about the school year so far.

Other:

Required

The following areas are a concern for my child. Choose all that apply: *

Anxiety

Feeling Sad

Inappropriate behavior

Social skills

Organization

Attention span

Managing emotions

Making and keeping friends

Developing resilience

None

Other:

Required

I would be interested in the following services for my child or family. Assistance programs are intended for families in financial need. Please choose all that apply: *

Assistance with food

Assistance with school supplies

Assistance with Thanksgiving meal

Assistance with Christmas gifts

Individual or group counseling from school counselor

Referral to a community or school-based therapist

None

Other:

Required

I would be interested in attending a virtual counselor Lunch and Learn event? At this event counselors would cover a different topic each month.

Yes

Not at this time

Clear selection

I would like a HRES counselor to contact me regarding my concerns. *

Yes

Not at this time

Parent contact information if we need to contact you.

Please let us know if there is any other information you would like the HRES counseling staff to know about your child or your family information.

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