Please complete this survey every time you are not replaced - for whatever reason.  Your name and the details of the incident will be kept confidential and will not be shared with anyone unless you have given consent.

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* 1. Last name, First name

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* 2. Email address:

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* 3. School:

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* 4. Date/time that you were not replaced.

Date / Time

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* 5. The reason that I was told that I was not replaced was:

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