Central High School Needs Assessment Survey
Student Form - Spring 2016
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Name
Gender *
Select your current grade. *
Required
Please rate each of the following items based on what is important to you as a student, what you want to know more about before you graduate, and what you think will be important to your success here and in the future.
1= least important and 5 = most important.  
Academic Concerns
College Applications *
Least Important
Most Important
College Selection *
Least Important
Most Important
Decision Making Skills *
Least Important
Most Important
Learning Styles (Visual, Audio, Hands-on) *
Least Important
Most Important
Organizational Skills *
Least Important
Most Important
Peer Mentoring/Community Service *
Least Important
Most Important
Study Skills *
Least Important
Most Important
Test Taking Skills *
Least Important
Most Important
Time Management *
Least Important
Most Important
Career Concerns
Career Interest Survey *
Least Important
Most Important
Career Research *
Least Important
Most Important
Goal Setting *
Least Important
Most Important
Job Applications/Interviewing Skills *
Least Important
Most Important
Military *
Least Important
Most Important
Vocational/Technical Schools *
Least Important
Most Important
Personal/Social Concerns
Anger Management *
Least Important
Most Important
Bullying/Harassment/Peer Pressure *
Least Important
Most Important
Children of Divorce *
Least Important
Most Important
Grief Management *
Least Important
Most Important
Conflict Resolution *
Least Important
Most Important
Listening Skills *
Least Important
Most Important
Motivation *
Least Important
Most Important
Self-esteem/Self Confidence *
Least Important
Most Important
Social Skills (friends/relationship building) *
Least Important
Most Important
Stress Management *
Least Important
Most Important
Alcohol/Drug Abuse *
Least Important
Most Important
Other Concerns (if any)
If you have any other information that you would like to share with your counselor, please explain below.
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