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OW MS/HS Student Check In 2020
Use this form if you need to talk to Mrs. Mueller! Answer only the questions you feel are necessary.
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Last Name
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Your answer
First Name
*
Your answer
Email
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Your answer
How are you today?
I'm great!
I'm okay.
I'm meh.
I'm struggling.
I'm struggling and need a check in.
I'm in a dark place.
How did you sleep last night?
Good nights sleep
Slept Ok
Didn't sleep at all
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Is there anything you need?
School supplies
Food
For females (sanitary items)
Laundry detergent
Deoderant
Toothbrush/toothpaste
Anything you want to tell me?
Your answer
If you need to talk, we can set up an appointment via phone or through zoom. Please let me know what is the best way to communicate with you to get things set up.
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Home Phone
Cell phone
Email
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Please provide the number or email you indicated above!
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