How are you doing?
The counselors at Olympus Jr are thinking about each of our students.  We want to know how you are doing through this really difficult time of seclusion and feeling the earthquakes.  Please answer the following questions as honestly as you can so we can reach out to those who really need the help.
Sign in to Google to save your progress. Learn more
Name *
Student # *
On a scale of 1-10, How nervous are you about Covid-19? (1=not concerned - 10=very concerned) *
On a scale of 1-10, How nervous are you about the earthquakes? (1=not concerned - 10=very concerned) *
On a scale of 1-10, How worried are you about your classes moving to online? (1=not concerned - 10=very concerned) *
What is your biggest worry or fear right now?
Would you like a counselor to reach out to you at home? *
Next
Clear form
Never submit passwords through Google Forms.
This form was created inside of Granite School District. Report Abuse