Creating Your Middle School Wellness Center

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The Wellness Center is a dedicated space that provides preventative interventions for your student, family, and school community. This survey is for us to understand your needs and perspectives in order to create a Wellness Center where your student, family, and school community feels safe, supported, and connected.

How informed do you feel about the supportive resources available to your child and family at their school? (i.e., mental health support, basic needs, housing resources, etc.) *

Not Informed

Very Informed

What challenges/needs can we support your child in? (Select all that apply)
*

Anxiety

Depression

Challenging Behavior

Healthy coping skills

Mental health awareness

Self-Injury

Suicidal Ideation or Homocidal Ideation

Child abuse (verbal, emotional, physical, mental, neglect)

Self-esteem

Body image

Social skills (i.e., relationship, friendship, etc.)

Bullying

LGBTQ+

Unstable housing

Grades

Attendance/truancy

Parent school involvement

Other:

Required

I feel comfortable asking my child's school for information and resources (i.e., mental health support, basic needs, housing resources, etc.), when in need.

Not comfortable

Very comfortable

Clear selection

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