JGHS Check-In Survey
Hello everyone! We understand that the impact COVID-19 has had in our community can be challenging and uncertain. Know that the counseling team is working hard to ensure you continue to receive the services that you need virtually. We also want to check-in with you all to see how you are doing. Please fill out this form by answering the following questions.
What is your name? *
What grade are you in? *
Please add a cell phone number we can reach you at.
Is it okay to add this number to Remind so that the counseling team can communicate with you for additional support?
Clear selection
Type one word that describes how you are feeling. *
How are you taking care of yourself? *
Indicate what services you are currently in need of if any. *
Required
If other, please indicate the service that you need below.
Attached is a list of services available to students and families in the NLMSD community.
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Norwalk-La Mirada Unified School District. Report Abuse