Elyssa's Mission Middle School SOS Program Survey 2024-25

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* 1. School Name and Program Administration Dates

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* 2. Using School Report Card data (overall data, not limited to SOS participants), please estimate demographic percentages (NOTE: enter whole numbers; do not include a percentage sign in your responses)

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* 3. What grade(s) participated in the SOS Program?
(Check all that apply)

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* 4. How many students participated in the SOS Program?

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* 5. How many total students were followed up with as a result of the consolidated screening tool (excluding "false positives" and friend referrals)?

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* 6. How many students were recommended for further evaluation and/or new  OR continued services as a result of the follow-up interview?

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* 7. Of those students recommended for further services (new and/or continued), please specify numbers: (NOTE: Select 1 referral option per student--whatever is the most restrictive; the overall total in Q7 should equal the number listed in Q6)