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LBC Student Needs Assessment
Student Instructions: The school counseling department wants to ensure we develop and provide programs that meet your needs. Please be totally honest in your responses. Only you and the counselors will know the answers you provide. This survey will help us learn how many students need programs and activities on certain topics. Thank you for helping us better meet your needs.
PLEASE READ EACH STATEMENT AND MARK THE MOST APPROPRIATE ANSWER CHOICE FOR YOU
PERSONAL Concerns:
Your answer
I need help making friends at school and/or at home. *
Required
I fit in well with my peers at school. *
Required
I need help dealing with peer pressure. *
Required
I would like to learn how to improve my communication skills. *
Required
I would like help feeling better about myself, gaining more self-confidence, and expressing my thoughts and feelings. *
Required
I need to talk to someone about being teased or bullied. *
Required
I would like to learn ways to help me get along better with other students. *
Required
I would like to learn ways to help me get along better with my family members. *
Required
I would like to talk to someone about feeling sad and depressed. *
Required
I need to talk to someone about feelings of harming myself. *
Required
I need help with feelings of grief over the loss of a loved one. *
Required
I would like to talk to someone about my parents divorce or separation. *
Required
I need help learning how to deal with anger. *
Required
I need help learning to cope with stressful feelings. *
Required
I need to learn skills for resolving conflicts. *
Required
SCHOOL Concerns:
I need to learn skills to become more organized. *
Required
I need to learn how to manage my time better. *
Required
I need help to improve my study skills. *
Required
I would like to learn strategies to reduce test anxiety. *
Required
I would like to learn techniques to improve my test-taking skills. *
Required
I would like to know more about the best career options for me. *
Required
I would like help planning my options for high school. *
Required
I would like to know more about graduation requirements. *
Required
Please check how much you agree with the following statement:
My school counselor is available to me when I need to see him/her. *
Required
I feel comfortable going to see my counselor to get help with SCHOOL concerns. *
Required
I feel comfortable going to see my counselor to get help with PERSONAL concerns. *
Required
My classes keep me interested in the topic. *
Required
I feel safe coming to school. *
Required
My school is a good place to learn
ALL of my teachers have high expectations
My teachers are willing to help me when I have questions. *
Required
Interactions between students and adults at my school are respectful.
Please check how much you agree with the following statements:
What topics would you like to include during crew this year? Circle all that apply: *
Are you interested in the Lead Brick Church Garden club? *
Please list any other concerns or needs that were not mentioned that YOU Personally would like the school counselors help with:
Your answer
What is your first and last name? *
Your answer
What is your grade? *
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