Parent/Guardian Needs Assessment
Thank you for taking the time to complete this survey. In an effort to support the growth and well-being of students, we want to hear from you! Your VOICE is vital in helping us put together the services and supports that will be most meaningful for Houston County students and families. 
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What school(s) does your student(s) attend? Check all that apply.
Please select your student(s) grade level. 
Please select all barriers that prevent your child(ren) from participating in school activities outside of regular school hours. 
Health & Hygiene
In order to identify the services that your family needs most, please check the services you would most likely use, possibly use, or not use. 
Would most likely use
Would possibly use
Would not use
Medical care
Dental care
Vision care
Telehealth
Food Pantry
Haircuts and hair care
Laundry facility
Clothes closet
Wellness education
Nutrition education
Cooking classes
Mental Health education
Personal care items (deodorant, shampoo, etc.)
Stress & Well-being
In order to identify the services your family needs most, please check the services you would most likely use, possibly use, or not use. 
Would most likely use
Would possibly use
Would not use
Peer conflict resolution
Teacher/Student conflict resolution
Building healthy relationships
Participation in a mentoring program
Yoga/Exercise/Wellness classes
Stress reduction activities
Support for teen parents
Managing Social Media
Dining etiquette
Friendship groups
Anger managment
Gang resistance
Grief support
Family changes
Depression
Anxiety
Self-esteem
Family counseling
Technology addiction
Suicide prevention
Self-harm prevention
Abuse prevention
Domestic violence prevention
Coping with childhood trauma
Dating violence prevention
Dealing with issues related to family members
Home & Family
In order to identify the services your family needs most, please check the services you would most likely use, possibly use, or not use. 
Would most likely use
Would possibly use
Would not use
Legal assistance
Help accessing Social Security services
Help accessing Family & Children services
Help accessing Women & Infant Children (WIC) services
Help accessing Probation/DJJ services
Help accessing Veteran Assistance services
Help accessing child support
Help accessing housing assistance
Personal and home safety
Homelessness assistance
GED classes for family members
English classes for family members who use English as a second language
Technology classes for family members
Family/Community activities such as picnics, game nights, etc.
Financial workshops such as budgeting, couponing, investing, etc.
Academic & Literacy
In order to identify the services your family needs most, please check the services you would most likely use, possibly use, or not use. 
Would most likely use
Would possibly use
Would not use
Access to a writing lab to complete and print papers
Access to school materials outside of school hours
Access to technology outside of school hours
A quiet place for individual or group study outside of school hours
Help with study skills, time management, and organization
School supplies
Tutoring outside of school hours
Information on joining school clubs
Access to reading material
Opportunities to tutor other students
A place to participate in creative problem-solving
College & Career
In order to identify the services your family needs most, please check the services you would most likely use, possibly use, or not use. 
Would most likely use
Would possibly use
Would not use
Individual academic advisement
Career exploration tools
Career counseling
Career fair
Career talks with local professionals
Community service opportunities
Military recruitment services
ASVAB (military) test preparation
Technical college test preparation (Accuplacer)
College admission test preparation (SAT/ACT)
College selection assistance
College application and scholarship assistance
Financial workshop on paying for college and technical school
Leadership/Decision-making skills
Dress for success
Job application assistance
Resume' writing
Interview skills training
Job etiquette
Please list any needed services that were not included in this survey. 
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