Wellness Program Questions: Class of 2019
Please complete the following questions to help us better serve all students. Your responses are confidential and anonymous and will be used only to inform our program to meet the needs of all students. Thank you!
I attend: *
My school has people who can help students going through stressful situations. *
Strongly Disagree
Strongly Agree
I know where I can go on campus to access wellness support when needed. *
Strongly Disagree
Strongly Agree
Which of the following support services have you accessed at your school campus? Check all that apply: *
Required
If you did not access wellness services at school, tell us how you know about the wellness program on your campus. Check all that apply: *
Required
If I felt upset during the school day and needed help, I believe there is a counselor or other adult that I could ask for help: *
Strongly Disagree
Strongly Agree
If I felt upset during the school day and needed help, I would speak to a counselor or other adult on campus. *
Strongly Disagree
Strongly Agree
My friends have encouraged me to speak to a counselor or other adult at school. *
Strongly Disagree
Strongly Agree
My family has encouraged me to speak to a counselor or other adult at school. *
Strongly Disagree
Strongly Agree
If a friend was suicidal, I would tell an adult I trusted, even if my friend asked me to keep it a secret. *
Strongly Disagree
Strongly Agree
Overall, how satisfied are you with the wellness services at your school? *
Dissatisfied
Very Satisfied
If you did not participate in wellness counseling at school, what would you have done to get help or support for your well-being? Select the best answer. *
How we can improve our wellness services at your school?
Your answer
Are there other wellness services or programs you would like to see at your school that are not offered now?
Your answer
Submit
Never submit passwords through Google Forms.
This form was created inside of smuhsd.org. Report Abuse - Terms of Service