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Need to Talk?
Your counselors are here to help! Let us know if there is anything you would like to check-in about!
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* Indicates required question
Email
*
Your email
Name
*
Your answer
Teacher or Grade Level
*
Your answer
What Zone are you in today?
Blue Zone
Green Zone
Yellow Zone
Red Zone
Clear selection
*
Curious
Scared/nervous/worried/anxious
Sad
Lonely
Angry
Confused
Excited
Stressed/Overwhelmed
Other:
Required
On a scale of 1 to 5, how big is your struggle?
*
Manageable
1
2
3
4
5
Unbearable
Who would you like to check in with?
*
Mrs. Case
Mrs. Hirchert (T, W morning, TH)
No preference
Required
Reason(s) for needed counseling support?
Academic (Learning / Accommodation)
Personal (at home / outside resources)
Social (peer conflict etc)
Emotional
Other:
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Is there anything else you would like to share with us?
Your answer
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