RHMS 6th Grade Student Needs Assessment
This is a short questionnaire about you and what you need. This is confidential/private between you and Ms. Chaney.
I need or want help with the following (check ALL that apply)
Communicating with parents
Getting good grades
Making friends / Fitting in
Feeling left out with peers
Dealing with bullies
Standing up to peer pressure
Making decisions in boy/girl relationships
Helping myself (gaining more self-confidence, feeling better about myself, expressing my feelings and thoughts)
Dealing with anger and frustration
Getting involved with school activities
Feeling sad or depressed
Parent divorce or separation
Sadness over the loss of a loved one
Skills for resolving conflicts/problems with others
Learning more about myself (my personality, my interests, my strengths, and what I am good at)
Figuring out what I want to be when I grow up
I need help with something not listed. Please write what you need with help with below:
Please check any of the items below that you may need more help with:
I need help being more organized
I need help managing my time better
I need help reducing testing anxiety
I need help with my test taking skills
I do not need help with any of these organizational or testing strategies
My closest friend at RHMS is...
I need Ms. Chaney to know this about me... (optional)
First and Last Name (optional)
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This form was created inside of Durham Public Schools.