Date
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Month
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Day
Year
Date
Student Name
First Name
Last Name
What School Do You Attend
*
Please Select
Morgan Elementary, Rialto USD
Frisbee Middle, Rialto USD
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to about my feelings.
Strongly Agree
Agree
Neither agree or disagree
Disagree
Strongly Disagree
I enjoy coming to school.
I am confident in myself.
I have at least one thing that I am good at.
I have at least one adult that I feel safe talking
I have an idea of what I want to be when I grow
I enjoy participating in sports
I care about being healthy.
I exercise outside of school.
What is one to two things you are looking forward to learning in the program?
(Leave Blank Until End of Program) What is one to two things you enjoyed learning in this program?
Submit
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