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Parent Needs Assessment
Short survey to determine the needs of our families
* Indicates required question
Email
*
Your email
Type in your First and Last Name
*
Your answer
Your student's name and grade level
*
Your answer
How has your student been feeling lately?
*
excited
angry
scared
uneasy
Other:
Required
Do you feel the pandemic has affected your student's mental health?
*
Yes
No
Maybe
If you answered yes, please provide a brief explanation
Your answer
If you answered yes, please provide a brief explanation
Your answer
What does distance learning look like for your student (s) at home?
*
Your answer
Either myself and/or my family need help with (check all that apply):
*
academics
anxiety
bullying
depression
family concerns
grief/loss
healthy relationships
college and career preparation
organization/time management
self-image
Required
Do you have any questions, comments, or concerns you would like to share with the counselor?
*
Your answer
A copy of your responses will be emailed to the address you provided.
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