2019-2020 Leinkauf Elementary 3-5 Student Needs Assessment
Directions:

Your school counselor is someone who can help you with some of the challenges you may be having. Please answer "YES" or "NO" to the questions below. Your school counselor would love to know more about you and how to help you at school!
What is your Current Grade Level *
I know who my school counselor is *
I would go see or ask my school counselor for help if I needed to *
I Feel Safe at School *
I do not feel Safe at all
I feel very Safe
I need help with: (check the boxes next to things you could use help with) *
Required
I feel safe at home *
I know of at least 1 person at my school who I can talk to if I have a problem *
I know of at least 1 person outside of my school who I can talk to if I have a problem *
Speaking to the counselor is :
Not Helpful
Very Helpful
Use this section to tell your school counselor about topics or situations you need to talk about.
Your answer
Submit
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