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Self-Care Feedback (MGH Clay Center)
This survey is confidential.
If you'd like more from us in the future,
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our quarterly newsletter for educators OR
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for our monthly newsletter for all caring adults.
1.
What is your role?
Teacher/Educator
School Wellness Coordinator
School Counselor
Student
Other (please specify)
2.
Where are you located?
State/Province
*
3.
Which self-care resources did you use?
(check all that apply)
(Required.)
Middle School Video
High School Video
College Video
Teen/Young Adult Self-Care Article
Classroom Toolkit
Image Handouts
Other (please specify)
4.
What age are your students?
(check all that apply)
Grade School
Middle School
High School
College
Other
5.
How many students did the activity?
(enter approximate # below)
6.
What purpose did your activity serve?
(check all that apply)
Social Emotional Learning (SEL) Lesson
Health/Mental Health Lesson
Student Special Assembly
After School/Out-of-School-Time Activity
Other (please specify)
7.
Anything else you'd like us to know
, or topics you'd like us to cover?
Thank you for your time in taking this survey.
It means a lot and will help us develop similar resources to support YOU as you support your young people.
