Anxious/worried
Depressed/unhappy
Eating disorder/body image issues
Hyperactive/inattentive
Shy/withdrawn
Low self-esteem
Aggressive behaviors
Stealing
Other
Homework not turned in/complete
Low test/assignment grades
Poor classroom performance
Sleeping in class/always tired
Sudden change in grades
Frequently tardy or absent
New student
Other
Bullying
Difficulty making friends
Poor social skills
Problems with friends
Boy/girl friend issues
Other
Fighting with family members
Illness/death in the family
Parents divorced/separated
Suspected abuse
Suspected substance abuse
Other