JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
SAFE 2 TALK
When you need to talk OR want to anonymously report a concern use the SAFE 2 TALK form below.
You are SAFE 2 TALK about any problem without using your name, so report it and let us help.
If this is an emergency, call 911 IMMEDIATELY!!!
Sign in to Google
to save your progress.
Learn more
* Indicates required question
It's SAFE 2 TALK, so if you...
What's going on? The more information, the better. Please choose an option below.
*
I need to talk because something is bothering me.
I need to report something anonymously because I am uncomfortable and concerned about safety.
Required
I want to talk about something going on with...
*
My friends
My family
My classmates
Myself
Other
Required
What concerns you or makes you uncomfortable? Select all that apply.
*
Bullying or harassment
Anxiety or depression
Self Harm or suicide
Drugs or alcohol abuse
Sexual Abuse
Physical Abuse
Verbal Abuse
Weapons such as guns, knives, explosives
Threats of violence
Other:
Required
What is the name of the person or persons of which you are concerned ?:
*
Your answer
It's SAFE 2 TALK. Please tell us something about your concern (Including... Who ? What ?, When ?, Where ? and How Do You Know ?)
*
Your answer
What is your name and how can we get hold of you to talk? If you want to be anonymous please leave this block blank.
Your answer
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of High Mount School.
Report Abuse
Forms
