Worry Button

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Please complete all fields marked (*)

What is your name? *

What Class are you in? *

Oak Wattle Beech Poplar Joshua Magnolia Pine Willow Birch Maple Aspen Cedar

Can you tell me what is worrying you? *

Does another adult know about your worry? It is always good to speak to a trusted adult. *

On a scale of 1 to 10 how are you feeling? 1 being the saddest you have ever felt before and 10 being the happiest you have felt. *

1

Very sad

2

3

4

5

6

7

8

9

10

Very happy