Sgwrs Lles / Wellbeing Check-in

Llenwch y ffurflen hon a'i hanfon atom os ydych chi eisiau gwiriad lles!

Please fill-in and send us this form if you want a wellbeing check-in!

Please complete all fields marked (*)

Your first name *

Your last name *

Your email *

Enw Disgybl a Dosbarth Cofrestru / Pupil's Name and Form Class (e.g. 8 Nantlais A)

Pwy sydd cwblhau'r ffurflen? / Who is completing this form?

Beth sydd ei angen arnoch i'ch helpu chi? / What do you need to help you?

Sut ydych chi'n teimlo? / How are you feeling on a scale of 1-5 (1 being very bad, 5 being great!)?

Unrhyw fanylion pellach? / Any more details?

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