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Primary Risk Screening Tool

Primary Risk Screening

  • Please complete the following information about any student that might be in need of additional support. The information on this page goes directly to Jody Sweeney, Freeman School Psychologist/Special Education Director. This information will be maintained confidentially. Your input is greatly appreciated!
  • Date Format: MM slash DD slash YYYY
  • A. Crisis Exposure

    Note: Bold numbers provide values for Risk Screening Rating.
    Check all that apply.
  • B. Personal Vulnerability(ies)

  • Note: This field provides value for Risk Screening Rating.
  • C. Immediate Crisis Reactions

    Note: Bold numbers provide values for Risk Screening Rating.
  • Primary Risk Screening Rating

  • Physical proximity to the crisis event; Duration of exposure to the crisis event; Emotional proximity or relationship(s) with crisis victim(s); Preexisting personal vulnerability(ies); Immediate crisis reactions. Highest possible value=32.