KMS Check-In
Aloha KMS Students, We created this confidential counseling check-in form so that I can check-in with all of you and see how you are doing :) Please complete it when you have a moment. Thanks! Also, please remember all responses are confidential unless someone is getting hurt, then I have to get help and make sure you are safe. Stay safe and healthy and remember to take care of yourselves.   -Mrs. Canton
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Email *
Use this form to check-in with Mrs. Canton and let her know how you are doing.  Responses will be kept confidential.
Last Name *
First Name *
Using the above Mood Rating Scale, rate your mood 1-5:
I'm feeling #____from the chart (can be more than one number) *
Required
I am feeling this way because....
How is Distance Learning going for you? Briefly explain.
What is something that has been making you feel happy during this time?
What is something that makes you feel "stressed out" about distance learning?
Is there something else you would like us to know?
Would you like Mrs. Canton, Mrs. Blanco, Aunty Chyler or another school adult to call or have a virtual meeting with, you?  If yes, what is the best way to contact you?
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