3rd-5th Counseling- Student Check In Form
Student- Just checking in to see how you are doing! Please fill out the following form
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Date *
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First and Last Name *
Time
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Grade *
How are you feeling today? *
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Please explain why you are feeling that way. *
How can I help?
Do you want to talk about any of the following? Check as many as you need *
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(If you do want to talk) How soon do you need to talk with Mr. Berge?
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