Student check-in with Ms. Ochoa
Students can use this form to update me on how they are doing and request a check in. Check-ins can be done through a phone call or through a video call with parent permission. Please keep in mind that privacy may be a little different when we are having a conversation on the phone or through a video call versus when we speak in my office. As your school counselor, I will still respect your privacy within the limits but I cannot control your privacy at home. I hope to hear from you so we can check in!  
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Student First Name *
Student Last Name *
Grade *
How did you sleep last night? *
Couldn't sleep well
I slept great!
Please explain your sleep rating if you didn't sleep well.
How was your breakfast or lunch? *
I didn't eat
I am full
Please explain your food rating if you didn't eat.
How do you feel today? *
Tell me more about why you are feeling that way. *
How are things going at home? *
Horrible
Things are great
Anything else you want to tell Ms. Ochoa?
Do you need Ms. Ochoa to call you? I will do my best to contact you on either the same day or the day after. *
What is easier for you to use, Zoom or Google Hangouts? *
If you are experiencing immediate mental distress please use any of the following resources: National Prevention Hotline 1-800-273-8255---Central Crisis & Suicide Prevention Hotline --- 1.888.506.5991---Crisis Text Line --- Text HOME to 741741
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