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FEELINGS CHECK
TAKE A MOMENT TO THINK ABOUT YOUR FEELINGS TODAY
* Indicates required question
Email
*
Your email
First Name
*
Your answer
Last Name
*
Your answer
Homeroom Teacher
Your answer
Grade Level
*
Choose
Kindergarten
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
Which zone is the closest match to your feelings right now?
*
Green Zone
Yellow Zone
Blue Zone
Red Zone
(OPTIONAL DETAILS) I'm feeling_________ because________
Your answer
Which is true for you right now?
*
I used one or more strategies and I'm calmer now.
I used a few strategies and am having trouble getting calm.
Other:
(OPTIONAL DETAILS) Strategies I used are...
Your answer
Strategies you might want to try (list above if you tried any of these or others).
What do you feel you need right now?
*
A virtual high five
A positive message
Nothing, just wanted to check in
I need to talk to someone
Other:
Required
Submit
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