Student Feedback Survey

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We want to be sure we are meeting your needs as a student during this time. Please answer the questions below honestly. You won't be providing your name on this survey, so your answers will all be anonymous.

What grade are you in? *

How are you feeling this week? You can choose more than one answer. *

Great! Things are going well for me.

I'm ok. Some days I feel down, but overall I'm doing ok.

I'm nervous or anxious about my school work.

I'm nervous or anxious about my home life.

I'm lonely.

I'm really struggling overall and need help from someone outside my home.

Required

How has school gone for you up to this point? *

Horrible

Great

What has been the best part of your school week? You can mark more than one. *

I have reconnected with my classmates.

I have enjoyed talking with at least one of my teachers.

I have enjoyed the assignments from my teachers.

The amount of school work has not stressed me out.

I have had all the help I need to complete all my school work.

I am happy to be "back at school."

Other:

Required

Which of the following have been your biggest struggles with school work up to this point? You can mark more than one. *

I have not had any struggles.

Developing a daily routine that works for me.

Organizing all of the information my teachers are sending me.

The activities I'm being asked to do are too difficult for me. I need help.

I don't have good access to a computer or device.

I don't have good Internet access.

I'm not motivated to do work on my own.

I don't have the right supplies to complete my work (paper, pencils, rulers, etc).

Other:

Required

How much time are you spending on schoolwork each day? You can just give an estimate. *

Less than 1 hour

1-2 hours

2-3 hours

More than 3 hours

What type of support do you have from adults during the school day? *

A parent or caregiver can help me whenever I need anything.

I have a parent at home, but they are working and can't really help me.

There's an adult at home but they can't really answer my questions or help me with my work.

There is not an adult at home with me during the day, so I don't have anyone who can help me with my work.

It is hard for me to do my work because I am in charge of my siblings during the school day.

Do you have anything else you want to tell us about your experience?

If you would like to be contacted by your school counselor, please enter your email below.

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