Student Needs Assessment
To help assist you the most please complete the following concerning counseling topics, wants and needs. This information will only be used to help assist me in helping form the best school counseling program.  
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Name (First and Last) *
Grade *
School Counseling Services *
Please select how much knowledge you have concerning the following:
1) I don't know about this
2) Very Little
3) Some
4) A lot
5) Everything I could teach others about this
Appropriate use of social media
Managing stress
Emotional Regulation
Coping skills/mindfulness
Smoking/E-cigarettes on Teenage development
Drugs/Alcohol damage on the Teenage Brain
Communication/conflict resolution
Healthy Relationships
Leadership skills/positive role model
Bullying
Tolerance/Diversity
Goal setting
Career Awarenes
School Counseling Services *
I would like to know more about the following
1) No
2) Maybe
3) Yes
4) Not sure
Appropriate use of social media
Managing stress
Emotional Regulation
Coping skills/mindfulness
Smoking/E-cigarettes on Teenage development
Drugs/Alcohol damage on the Teenage Brain
Communication/conflict resolution
Healthy Relationships
Leadership skills/positive role model
Bullying
Tolerance/Diversity
Goal Setting
Career Awareness
School Counseling Services *
I believe I would benefit from individual or group counseling
Not needed
Strongly needed
I would like to share the following about me: *
Submit
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