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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
Fitting in at the school
No help needed
A lot of help needed
Dealing with peer pressure
No help needed
A lot of help needed
Improving communication
No help needed
A lot of help needed
Dating or relationship issues
No help needed
A lot of help needed
Helping myself (more self-confidence, feeling better about myself, expressing my feelings and thoughts)
No help needed
A lot of help needed
Handling teasing or being bullied
No help needed
A lot of help needed
Getting along with family members
No help needed
A lot of help needed
Feeling sad or depressed
No help needed
A lot of help needed
Feeling suicidal
No help needed
A lot of help needed
Grief over loss of a loved one
No help needed
A lot of help needed
Parental divorce or separation
No help needed
A lot of help needed
Feeling stressed
No help needed
A lot of help needed
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
Managing my time better
No help needed
A lot of help needed
Improving study skills
No help needed
A lot of help needed
Reducing test anxiety
No help needed
A lot of help needed
Improving test-taking skills
No help needed
A lot of help needed
Exploring career options for me
No help needed
A lot of help needed
Planning my options after high school
No help needed
A lot of help needed
Understanding my learning style and how to improve my learning
No help needed
A lot of help needed
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
I would be interesting in participating in group counseling
Strongly Disagree
Strongly Agree
Thank you so much for your help!
Submit
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