SAHS Needs Assessment Survey Fall 2019
This survey is given to you from the Counseling Department. We want to give you a chance to tell us what sort of issues and counseling services are most important to YOU. We take your answers seriously. Only the Counseling Department will see your responses. Your privacy is important to us.
Email address *
First Name *
Your answer
Last Name *
Your answer
FLIGHT Teacher (Just Last Name Please) *
Your answer
Grade
Counselor *
I am interested in hearing more about RedHawks Rising (after school tutoring and enrichment).
Not at all true for me.
Completely true for me.
I am interested in attending a FREE prep class for the ACT.
What are your current plans for after High School?
I would like being paired with an adult mentor to help me achieve my goals.
Not at all true for me.
Completely true for me.
We have many colleges that visit our campus. Which colleges would you be interested in learning more about? (Mark as many as you'd like.)
Do you have a career goal? (Example: I want to be an architect.)
If yes, what is your current career goal or the career that you are most interested in right now?
Your answer
Please check which career pathway area(s) you are most interested in pursuing (check all that apply):
I would like to connect with a professional person in the one of those fields (above) for guidance.
Not at all true for me.
Completely true for me.
I have at least one other student that I can talk to about my problems.
Not at all true for me.
Completely true for me.
I have at least one adult I can talk to about my problems.
Not at all true for me.
Completely true for me.
I need clothes for school and would like help getting them.
Not at all true for me.
Completely true for me.
I need school supplies and would like help getting them.
Not at all true for me.
Completely true for me.
My family could use help with making sure we have enough food.
Not at all true for me.
Completely true for me.
My family could use help to get health insurance.
Not at all true for me.
Completely true for me.
I am looking for an opportunity to make new friends to sit with at lunch.
Not at all true for me.
Completely true for me.
I struggle to control my anger and am interested in learning how to manage it.
Not at all true for me.
Completely true for me.
I struggle with an addiction.
Not at all true for me.
Completely true for me.
I am interested in learning how to overcome my addiction.
I have someone in my life who has problems with alcohol or drugs.
Not at all true for me.
Completely true for me.
I could use some support regarding my gender identity or sexual orientation.
Not at all true for me.
Completely true for me.
I feel good about myself most of the time.
Not at all true for me.
Completely true for me.
I feel sad most of the time.
Not at all true for me.
Completely true for me.
I have had thoughts about suicide in the past 30 days (month).
Not at all true for me.
Completely true for me.
I have had thoughts about suicide in the past year.
Not at all true for me.
Completely true for me.
I would tell an adult about a friend who was suicidal, even if that friend asked me to keep it secret.
In the past year, I have told a friend who was considering suicide to get help from an adult.
Someone important to me died in the past year.
Not at all true for me.
Completely true for me.
I feel bullied at school.
Not at all true for me.
Completely true for me.
People might say that I am a bully.
Not at all true for me.
Completely true for me.
I wonder if I am in a relationship that is unhealthy.
Not at all true for me.
Completely true for me.
I wonder if I might have an eating disorder.
Not at all true for me.
Completely true for me.
When I am upset, I hurt myself.
Not at all true for me.
Completely true for me.
I am hopeful and feel good about my future.
Not at all true for me.
Completely true for me.
What do you think the biggest issue is in our community (Albany/Corvallis area)?
If you had a problem and needed to talk to someone at school, who would you go to?
Choose as many that apply.
Submit
Never submit passwords through Google Forms.
This form was created inside of Greater Albany Public Schools. Report Abuse