SAHS Needs Assessment Survey Fall 2017
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.
First Name *
Your answer
Last Name *
Your answer
Pride Teacher *
Your answer
Counselor *
I know how to access my counselor at SAHS if I need to see him/her.
Not at all true for me.
Completely true for me.
I know how to get academic help if I need it (ex: tutoring, study tables, Rebels Rising, etc).
Not at all true for me.
Completely true for me.
I would like more information about Rebels Rising
I have at least one peer 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 help improving my test-taking or study skills.
Not at all true for me.
Completely true for me.
I need clothes for school.
Not at all true for me.
Completely true for me.
I need school supplies.
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.
Do you and your family have health insurance?
How much time do you spend being physically active each week?
How many hours do you sleep at night?
Do you know where to get help (resources) if you needed academic, social or emotional support?
Do you pay attention to making health food choices when you eat?
Which activities would you be most interested in learning more about or participating in?
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 addiction.
Not at all true for me.
Completely true for me.
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 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.
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 romantic relationship that is unhealthy.
Not at all true for me.
Completely true for me.
I would tell an adult about a suicidal friend, even if that friend asked me to keep it secret.
Not at all true for me.
Completely true for me.
In the past year, I have told a friend who was considering suicide to get help from an adult.
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.
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