School Counselor Check-in

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This survey is OPTIONAL. Please answer the questions below if you feel your student/family could use support from the school counselor. All responses remain CONFIDENTIAL. Thank you - Mrs. Morgan

Student's name

Please mark your child's teacher for the 20-21 school year

Thompson

Volk

Gurske

Portinga

McCoy

Giard

Henningsen

Elison

Wear

Brock

Delplanche

Godsey

Rider

Elliott

McClain

Crackel

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What school counseling services is your student/family currently interested in:

Someone to listen to my student

Someone to problem solve my student's motivation with distance learning

Someone to problem solve my student's general social skills (empathy, communication, taking turns, etc)

Someone to problem solve my student's anxiety/worries

Someone to problem solve my student's sadness, isolation, feeling lonely

Someone to problem solve my student's extreme behavior issue at home

Someone to refer my student/family to Hillsboro School District's Care Team for long term mental health care (they will help navigate available counselors with your insurance)

Someone to refer my student/family to our Lifeworks therapist for long term mental health care (only accepts Oregon Health Plan w/limited # of spots)

Other (please check and e-mail morganr@hsd.k12.or.us or call 971-330-6391

My student works best in the following environment:

1:1 via phone, google meet

Small group counseling w/peers and like concerns

The best available time for my student is:

After school (2-5 pm)

Evenings (6-8 pm)

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