Minute Meetings
Please answer each question as honestly as possible. Your answers will be just for your school counselor to know (unless any information shared would be potentially harmful for you or someone else). 
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What is your LA teacher's name and LA class's hour? *
What is your name? (First and last name as in PS, and preferred name if different than in PS.) *
Rate your school life.  *
Rate your home life. *
How many days of the week do you feel angry, tired, scared, or sad/ upset? *
What adult could you go to if you were feeling angry, tired, scared, or sad? *
If you had one wish, what would it be? *
Do you have anything that you would like to talk to your school counselor about? *
If we have the below school counseling groups this year, select any you're interested in joining, or select "no thanks."  *
Required
Is there anything that your counselor should know about you or someone else that this form does not cover? *
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