Panorama Wellness Survey Questions Grades 6-12

Panorama Mental Health and Well-Being Survey

School Year 2025–2026 | Grades 6–12

To better support you, your school and teachers would like to ask a few questions about how you're feeling and how we can help.

Your responses will only be visible to your teachers, school leaders, or approved District 51 personnel. They will not affect your grades and will not appear on your report card.

Please answer honestly—there are no right or wrong answers. You can skip any question you do not feel comfortable answering.

Your Feelings

During the past week, how often did you feel the following emotions?

• Excited
• Happy
• Loved
• Safe
• Hopeful
• Angry
• Lonely
• Sad
• Worried
• Frustrated

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 trusted adult outside of school?
   ☐ Yes  ☐ No

• If yes, who?

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

• Do you have a friend at school you can be completely yourself around?
   ☐ Yes  ☐ No

Safety & Security

• Do you have enough food at home to eat breakfast, lunch, and dinner every day?
   ☐ Yes  ☐ No

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

• Are you currently living in someone else’s home (not your parent or guardian’s)?
   ☐ Yes  ☐ No

• Have you recently been harassed, threatened, humiliated, or physically harmed (hit, kicked, pushed, spit on, etc.) by another student in person or online?
   ☐ Yes  ☐ No

• If yes, has this happened more than once in the past month?
   ☐ Yes  ☐ No  ☐ I answered no to the previous question

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

Feelings in General

• When you're experiencing strong emotions (really mad, sad, anxious, or stressed), are you able to use positive coping strategies like deep breathing or asking for a break?
   ☐ Yes  ☐ No

Well-Being

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

• Would you like to speak with a counselor about any major life changes you've experienced in the past year (like death, divorce, illness, or job loss)?
   ☐ Yes  ☐ No

 

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