Panorama Wellness Questions Grade 3-5

Panorama Mental Health and Well-Being Survey

School Year 2025–2026 | Grades 3–5

To better support our students, your school and teachers would like to ask a few questions about how you’ve been feeling and how we can best help you.

Your answers will only be shared with your teachers, school leaders, or approved D51 staff. This survey will not affect your grades and your responses will not appear on your report card.

There are no right or wrong answers—please respond honestly. You can skip any question you're not comfortable answering.

Your Feelings

How often have you felt these emotions in the past week?

1. Excited

2. Happy

3. Loved

4. Safe

5. Mad

6. Lonely

7. Sad

8. Worried

Answer options:
Almost never | Once in a while | Sometimes | Frequently | Almost always

Supportive Relationships

• Do you have a trusted adult at school you can talk to?
   ☐ Yes  ☐ No

• If yes, who?

• Do you have a friend at school you can count on to help you, no matter what?
   ☐ Yes  ☐ No

Safety & Security

• Does your family have enough food for breakfast, lunch, and dinner each day—even if it’s not your favorite?
   ☐ Yes  ☐ No

• Do you currently live in a tent, camper, hotel, or homeless shelter?
   ☐ Yes  ☐ No

• Do you live in someone else’s house with friends or another family?
   ☐ Yes  ☐ No

• Would you like to talk to your school counselor or principal about your safety or someone else’s?
   ☐ Yes  ☐ No

Feelings in General

• Do you know ways to calm down when you're feeling big emotions (like being really excited, mad, scared, worried, or silly)?
   ☐ Yes  ☐ No

• Would you like to talk to your school counselor about a big problem or something you're worried about?
   ☐ Yes  ☐ No

 

Opt Your Child Out of this SurveY - ENglish  Opt Your Child Out of this SurveY - SPANISH