Beginning of Week Check-In
As your week begins, please complete the questions below to let me know how you're doing!  

This form is not mandatory or required, so no pressure! But your counselors want to know how you are doing, and that means how you are REALLY doing.  When you fill this out, only Ms. Hawkins & Ms. Ramsey are viewing the information.

Ms. Hawkins & Ms. Ramsey, LCMS Counselors

*** Remember what you say stays between us unless you want to hurt yourself or someone else, or if someone else is hurting you. Anything else stays between us!
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Today's Date *
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YYYY
First & Last Name (PLEASE  PUT BOTH) *
Grade Level *
Email Address (Enter your school email)
How are you feeling this week? *
On a scale of 1 to 5, how is your sleeping? (1= Didn't sleep well at all; 5= Best sleep ever.) *
Required
On a scale of 1 to 5, how is your eating? (1= Not very healthy eating; 5= Eating.) *
Required
Were you able to complete all of your work for the week? *
What has not been great this week? *
What has gone well this week? *
Do you have anything you want to share with me? This can be about school or life.
If you wish for your counselor to contact you, please list the details below (example: Virtual students list email address, phone number, etc. you wish to be reached by).  In person students, list your free period. Ex. What period is your PE, Study skills class, etc?
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