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Student Needs Survey - Middle & High School
Help your school counselors and social workers understand your needs and provide support in preparation for the 2020-2021 school year.
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* Indicates required question
Student's first name
*
Your answer
Student's last name
*
Your answer
Student's school
*
Choose
Monticello Middle School
Roxboro Middle School
Heights High School
Delisle Options Center
Have you experienced the loss of a loved one during the COVID-19 pandemic?
Yes
No
Clear selection
On a scale of 1-5, rate how you feel about returning to school.
Not anxious/worried at all
1
2
3
4
5
Extremely anxious/worried
Clear selection
Next
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This form was created inside of Cleveland Heights - University Heights City School District.
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