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Fort Foote ES Parent Needs Assessment 2020-2021
The School Counseling program is largely based the needs of the school community.  Please complete this assessment to help me understand how I can best serve you & your child(ren).  

Parent Name
Question Type
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Answer key
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Child's 1st & Last Names:
Question Type
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Answer key
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Child's Grade Level:  If you have multiple children w/different needs, you may complete a separate form for each
Question Type
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Kindergarten
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
6th Grade
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add "Other"
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Answer key
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Your child's academic/career needs:  please rank what you believe is your child's top 3 academic/career needs.  If there are none, please go to the next item.
Question Type
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1st
2nd
3rd
Attendance
Career Exploration
Math Support
Motivation
Organization of Materials
Reading Support
Scholarship Information
Time Management
Understanding Post-Secondary Education Options
Writing Support
Rows
1.
Attendance
2.
Career Exploration
3.
Math Support
4.
Motivation
5.
Organization of Materials
6.
Reading Support
7.
Scholarship Information
8.
Time Management
9.
Understanding Post-Secondary Education Options
10.
Writing Support
11.
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Columns
1st
2nd
3rd
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Your child's personal/social needs:  please rank what you believe is your child's top 3 personal/social needs.  If there are none, please go to the next item.
Question Type
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1st
2nd
3rd
Anger Management
Appropriate Use of Social Media
Conflict Resolution
Cooperation/Teamwork
Friendship Skills
General Coping Skills
Peer Pressure
Personal Safety
Self-Image
Stress/Anxiety
Rows
1.
Anger Management
2.
Appropriate Use of Social Media
3.
Conflict Resolution
4.
Cooperation/Teamwork
5.
Friendship Skills
6.
General Coping Skills
7.
Peer Pressure
8.
Personal Safety
9.
Self-Image
10.
Stress/Anxiety
11.
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Columns
1st
2nd
3rd
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Parent Workshops:  Indicate which workshops you would be interested in attending.  Select all that apply.
Question Type
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Bully Prevention
Building Positive Relationships with My Child(ren)
Making the Most of Parent Conferences & Follow-Up
Supporting My Child's Academic Needs
Supporting My Child During Testing
Supporting My Child in College/Career Panning
Supporting My Child's Personal/Social Needs
Supporting My Child with Discipline
Other:
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Parent Workshop Participation:  If you have had success in any of the following & would like to present on a panel to help other parents, please indicate which workshop(s).
Question Type
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Bully Prevention
Building Positive Relationships with My Child(ren)
Making the Most of Parent Conferences & Ways to Follow-Up
Supporting My Child's Academic Needs
Support My Child During Testing
Supporting My Child in College/Career Panning
Supporting My Child's Personal/Social Needs
Supporting My Child with Discipline.
Other:
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Answer key
(0 points)
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OTHER NEEDS:  If you have other general needs, please indicate them here.
Question Type
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Answer key
(0 points)
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CONTACT (optional):  If you would like to participate in presenting on a parent panel, or if you would like to be contacted for another reason, please include here:  your name, best mode of contact, that contact information & the best time to contact you,  
Question Type
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Answer key
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Parent Name
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Child's 1st & Last Names:
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Child's Grade Level:  If you have multiple children w/different needs, you may complete a separate form for each
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No responses yet for this question.
Your child's academic/career needs:  please rank what you believe is your child's top 3 academic/career needs.  If there are none, please go to the next item.
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No responses yet for this question.
Your child's personal/social needs:  please rank what you believe is your child's top 3 personal/social needs.  If there are none, please go to the next item.
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No responses yet for this question.
Parent Workshops:  Indicate which workshops you would be interested in attending.  Select all that apply.
Copy chart
No responses yet for this question.
Parent Workshop Participation:  If you have had success in any of the following & would like to present on a panel to help other parents, please indicate which workshop(s).
Copy chart
No responses yet for this question.
OTHER NEEDS:  If you have other general needs, please indicate them here.
No responses yet for this question.
CONTACT (optional):  If you would like to participate in presenting on a parent panel, or if you would like to be contacted for another reason, please include here:  your name, best mode of contact, that contact information & the best time to contact you,  
Copy chart
No responses yet for this question.
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