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Student Needs Assessment
The student service department would like to ensure all student's needs are being met. In order to achieve this goal we would like you to take a second and answer the following questions honestly. Thank you for helping us meet your needs!
Email address *
Grade: *
Gender: *
Please read each statement and check how true it is for you and your personal concerns
Making friends
No help needed
A lot of help needed
Clear selection
Fitting in at the school
No help needed
A lot of help needed
Clear selection
Dealing with peer pressure
No help needed
A lot of help needed
Clear selection
Improving communication
No help needed
A lot of help needed
Clear selection
Dating or relationship issues
No help needed
A lot of help needed
Clear selection
Helping myself (more self-confidence, feeling better about myself, expressing my feelings and thoughts)
No help needed
A lot of help needed
Clear selection
Handling teasing or being bullied
No help needed
A lot of help needed
Clear selection
Getting along with family members
No help needed
A lot of help needed
Clear selection
Feeling sad or depressed
No help needed
A lot of help needed
Clear selection
Feeling suicidal
No help needed
A lot of help needed
Clear selection
Grief over loss of a loved one
No help needed
A lot of help needed
Clear selection
Parental divorce or separation
No help needed
A lot of help needed
Clear selection
Feeling stressed
No help needed
A lot of help needed
Clear selection
Please read each statement and check how true it is for you and your school concerns
Being more organized
No help needed
A lot of help needed
Clear selection
Managing my time better
No help needed
A lot of help needed
Clear selection
Improving study skills
No help needed
A lot of help needed
Clear selection
Reducing test anxiety
No help needed
A lot of help needed
Clear selection
Improving test-taking skills
No help needed
A lot of help needed
Clear selection
Exploring career options for me
No help needed
A lot of help needed
Clear selection
Planning my options after high school
No help needed
A lot of help needed
Clear selection
Understanding my learning style and how to improve my learning
No help needed
A lot of help needed
Clear selection
Please read each statement and check how true it is for you
I would be interesting in participating in individual counseling
Strongly Disagree
Strongly Agree
Clear selection
I would be interesting in participating in group counseling
Strongly Disagree
Strongly Agree
Clear selection
Thank you so much for your help!
Submit
This form was created inside of Caldwell County Schools.