Home/Teachers/Teacher Query Teacher Query Use this form to ask a question about a child/student. We are also able to visit your educational setting to observe the student and to give counsel. How can We Help? Please phone me Please email me I'd like a counselling appointment Please refer me to someone closeby Other Are you a Kindercare Teacher?* Yes No If yes Name your Kindercare centreYour Name* First Last Email* Phone Child's name Hours at childcare Age Place in family Parent's Marital SituationMarriedSeparatedDivorcedDe factoOtherMajor Life Stressors Moved House Financial Stress Marriage/Relationship Concerns Death/Serious Illness of Family Member/Pet Recent Holiday None Other Please include detailsPlease include detailsWhat is Concerning you?How long has this problem existed?Your Emotions Sadness Fear Anger Other What is your main emotion when this problem/situation occurs?Please include details.Please include details.Child's Emotions Sadness Fear Anger Other What do you think the child's main emotion is?What tells you this is their emotion?What tells you this is their emotion?Additional InfoDetail any other information you consider important.Anti Spam