Student Mental Health Survey (for Parents)
As parents and guardians, you know your child best. The Mifflin County School District is asking for your input on what your child has experienced, expressed, or even struggled with over the past few months. This will help us better plan and prepare supports and interventions for our return to school. Please feel free to answer the questions as you are comfortable. There are no required responses. We appreciate you taking the time to provide us with this confidential information which will be shared only with the providers you select below, if any.
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Please select all schools that your child/children attend.
What grade is your child/children entering this school year?
Please select all ways that your family was impacted during the pandemic.
How much does your child/children know about the COVID-19 pandemic?
They do not know much
They know many details
Clear selection
What questions has your child/children had about COVID-19 specifically?
Please rate your child's/children's attitude regarding returning to school.
Not positive
Very positive
Clear selection
What questions/concerns has your child/children shared with you regarding the return to school?
What changes (if any) have you noticed in your child/children over the past few months?
Please use this space to share any additional concerns you have regarding your child's social/emotional/mental health needs.
I would like someone from my child's school to reach out to my family regarding my concerns. (Please be sure to provide your contact information below).
Please enter your Name and  Phone Number/Email so your school representative can contact you.
Submit
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