Family - Student Check-in - Is there a need for counseling or emotional support?

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We care about you. We are here for you. Help us know the best way to support your child and you during this time. Please take a moment to complete this quick survey. If this is a mental health emergency, please dial 911.

Name of person completing this survey:

Name (s) of student:

School attending:

Forest View

Franklin

Kenwood

Lincoln

Mackinaw Trail Middle School

Cadillac Junior High

Cadillac Senior High School

Cadillac Innovation High School

GSRP

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How are you and your family doing? *check what applies to you.

We are doing well.

We are doing ok. Thankful we are not sick.

We have sick family members, but are doing okay.

We are not doing well at all, either physically or emotionally, and would love some help or support.

Please call us, we would like to talk.

What is the best number to reach you?

We are struggling with... *check all that apply:

Meals

Technology

Completing work from school

Communicating with teachers and school staff

Household necessities (food, paper products, personal hygiene items etc.)

Staying organized

Childcare

We need ideas to keep our children occupied

I wish the school would:

Is there someone at school that your child would like to communicate with?

Anything else we should know?

Submit

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