Student ExperienceMonthly Check-In Personal Information Name Program Name Host Family Name School Name Date Host Family Experience How would you rate your overall experience with your host family, on a scale of 1 - 5? Do you feel comfortable in your host home? (Yes/No) What do you enjoy most about your host family? Are there any challenges or concerns with your host family? Would you like additional support regarding your host family? (Yes/No) School Experience How do you feel about your school experience so far? (1-5) Are you making friends and feeling included? (Yes/No) Are you facing any challenges at school? Do you need academic or language support? (Yes/No) Well Being & Support How are you feeling overall? (1-5) Do you have any concerns you would like to share? Would you like to speak with a coordinator about any issues? (Yes/No) Additional Comments Anything else you would like to share about your experience? Thank you!