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Student Counseling Needs Assessment
Please answer these questions so that I know how best to help you this year.
Please type your teacher's last name. *
Your answer
Please type your last name followed by your first initial. *
Your answer
1. Do you like coming to this school? *
2. Are you happy with your friendships? *
3. Do you need help making better choices? *
4. Do you have trouble paying attention in school? *
5. Do you feel sad a lot? *
6. Do you feel safe at home? *
7. Are you happy in your family? *
8. Do you worry a lot? *
9. Do you have enough food in your house? *
10. Anything else you think I should know?
Your answer
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