This is your School Counselor, Mrs. Perez. I am so glad you are checking in with me today. I am here to help you with whatever you need. This is a short survey to let me know how you're doing and if you might need some help.  Just go through each question and answer the best you can.  This form will go right to me and your information stays private. Be sure to include your email and or phone number so I can check back in with you!