Panorama Wellness Questions Grade 3-5

Panorama Mental Health and Well-Being Survey

School Year 2026–2027 | 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

During the past week, how often did you feel __________?

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 so, who?

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

Safety & Security

• Does your family have enough food at home to eat breakfast, lunch, and dinner every day, even if it’s not your favorite food?
   ☐ Yes  ☐ No

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

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

•  I need to talk to my school counselor or principal about my safety or the safety of someone else right away.
   ☐ Yes  ☐ No

Feelings in General

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

• Do you want to talk to your school counselor about a big problem or something you are worried about?
   ☐ Yes  ☐ No

 

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