Student Needs Survey (End of Year) - Middle & High School
Help your School Counselor and Social Worker understand how your needs may have changed since the start of the 2020-2021 school year.
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Student's first name *
Student's last name *
Student's school *
Have you experienced the loss of a loved one during the COVID-19 pandemic?
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On a scale of 1-5, rate how you felt about being at school this year.
Not anxious/worried at all
Extremely anxious/worried
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