Social Emotional Needs Survey
Dear Student: Please complete the attached survey by Thursday, October 19, 2018. We need your feedback in creating social/emotional programs to support the needs of QHSS students. Your voice is important. Thanks in advance.
Email address *
1. Grade Level *
Required
2. I am comfortable discussing my worries and concerns with my parent/guardian. *
strongly disagree
strongly agree
3. I am comfortable discussing my worries and concerns with my guidance counselor or teacher. *
strongly disagree
strongly agree
4. I am able to effectively manage my emotions and behaviors in order to achieve my goals. *
strongly disagree
strongly agree
5. On average, how many hours do you spend completing homework assignments? *
Required
6. Do you feel respected by your peers? *
7. Do you feel respected by the staff and faculty at QHSS? *
Required
8. On average, how many hours of sleep do you get each night? *
Required
9. Do you feel that your social-emotional needs are being met by the QHSS staff? *
10. Please elaborate on your response to question #9. *
11. Have you been disrespected by a peer at the school because of your ethnicity, religious affiliation, sexual or gender orientation? *
12. What do you think works best for you in helping to reduce anxiety, stress and depression? *
Required
13. What programs should we implement at QHSS to help students deal with stress and anxiety? *
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