Check in with Mrs. Simmons
PLEASE NOTE:  This is a VOLUNTARY check-in.  You are NOT REQUIRED to do this.  
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Hey There!
First Name *
Last Name *
Today's Date *
MM
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DD
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YYYY
How did you sleep last night? *
I didn't sleep
I slept great!
How was breakfast? *
I didn't eat
I feel full!
How do you feel today? *
How are you?  Tell me what is going on in your life.
Is there anything else you would like to tell Mrs. Simmons?
Would you like a phone call or video call check-in? *
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