Initial Virtual Check-In (New Students)

Use this form the very first time we meet to help me get to know you better.

Session Date: ____________________________

1. Basic Information
   • Name: _________________________________
   • Pronouns (if you’d like to share): _____________
   • Grade Level: 11th Grade
   • How would you like me to address you? _____________

2. Getting to Know You
   What are three things you enjoy doing in your free time?

3. ---

4. ---

5. ---

3. School Experience
   • What’s one subject or class you look forward to? Why?

4. Mood & Well-Being
   On a scale from 1 (very low) to 10 (very high), how would you rate your overall mood this week? ________
   Briefly tell me why you chose that number:
   
   
   
   
   
   
   

5. Goals & Expectations
   • What is one thing you hope to accomplish by working together?

• What’s one strength you bring to our sessions?

6. Communication Preferences
   • How do you prefer to communicate (chat, video, audio)? ____________________
   • When might be the best times/days for you? ______________________________

7. Anything Else?
   Is there anything you’d like me to know about you right now?
   
   
   
   
   
   
   
   
   
   
   
   

Returning Student Virtual Check-In (Start of Year)

Use this form at the start of the school year if we’ve worked together before.

Session Date: ____________________________

1. Quick Re-Connection
   • Briefly, how was your summer break or recent time off?
   
   
   
   
   
   
   

2. Snapshot of Well-Being
   On a scale from 1 (very low) to 10 (very high), how would you rate your current stress or excitement about this school year? ________
   Why did you pick that number?
   
   
   
   
   
   
   

3. Looking Back
   Since we last met, what is one thing you’re proud of or a win you experienced?
   
   
   
   
   
   
   

4. Challenges & Concerns
   Do you have any worries or challenges you anticipate this year? If so, describe.
   
   
   
   
   
   
   

5. Goal Refresh
   • Recall the goal you set last year or at our last session:

• Is this goal still relevant?
[ ] Yes [ ] No [ ] Partially
• If you’d like to revise it or set a new goal, write it here:

6. Support & Strategies
   What support, resources, or strategies helped you most last year, and what might you add or change for this year?
   
   
   
   
   
   
   

7. Open Space
   Any other thoughts, questions, or topics you’d like to discuss today?
   
   
   
   
   
   
   
   
   
   
   
   

Keep these check-in sheets handy; we’ll refer back to them as we work together throughout the year.