A.C. Reynolds Middle School Counseling Program Survey

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A.C. Reynolds Middle School Counseling Program Survey - Parents

What grade is your child in?

Other

Various School Counseling services are listed below. Please read through the list and rate the importance of each service. (1 is least important, 4 is very important)

Least Important

Somewhat Important

Important

Very Important

Individual Counseling

Small Group Counseling

Classroom Guidance

Community Agency Referrals

Transition Services (elementary to middle, middle to high school, new students)

Teacher Consultation (grades, behavior, social situations)

Parent Consultation (grades, behavior, social situations)

Clear selection

Please list below other Counseling Services you feel are important at our middle school.

Please choose the top 5 topics below that you feel need to be addressed.

Bullying

Self esteem and self awareness

Study skills

Decision making skills

Time management and organization skills

Help with scheduling, choosing classes

Peer pressure

Substance abuse

Anger management

Problem solving/coping skills

Depression/suicide

Goal setting

Career planning

Transition (elementary to middle, middle to high school)

Dating/relationship issues

Family changes (divorce)

School/classroom behavior/respect

Other:

What do you feel are the most important activities for the School Social Worker?

Attendance follow-up

Assistance with food

Assistance with clothing

Assistance with housing

Mental health referrals

Connection with Health and Human Resources

Safety concerns

Behavior concernrs

Other:

Comments:

Please enter your name and contact information to be entered into a drawing for a $10 Target gift card.

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