Check in with Mrs. Hoell

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Check in with Mrs. Hoell

Need to talk with me to share good news? Need help solving a problem? Complete the below form and I will contact you either by Zoom, phone, or in-person as soon as I can.

If this is an EMERGENCY or you are in DANGER, do one of the following RIGHT AWAY:
- Tell a trusted adult near you. They can either get you the help you need or they can help you get a hold of me.
- Call 9-1-1 if you do not have a trusted adult.

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First Name *

Last Name *

Grade *

How are you feeling? *

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Happy or Feeling Good

Sad

Scared

Worried or Nervous

Mad or Angry

Frustrated

Lonely

Uncomfortable

Other:

Required

How big is your feeling?

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Small

1

2

3

4

5

Huge

Clear selection

What coping strategies have you tried?

Deep breathing

Do something active

Do something creative

Dance, sing, or listen to calming music

Write or draw in a journal

Talk to someone

Other:

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Are you just saying hello or do you want to meet/zoom with Mrs. Hoell? *

I want to meet/zoom with Mrs. Hoell about a BIG problem

I want to meet/zoom with Mrs. Hoell about a little problem

I want to meet/zoom with Mrs. Hoell just to say hi or share a story

I do NOT want to meet or zoom, I just wanted to leave a note.

Tell Me About it

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Submit

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