JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
1st Quarter Needs Assessment 2025-2026
This assessment is used to assist the school social worker in identifying the specific needs and strengths of the students and families. The assessment identifies any gaps and helps with proactivity. This allows the social worker to identify the needed support/resources before the concerns intensify. All information is kept confidential - if you have a specific concern you would like to discuss, please email the social worker at katelyn.silvoy@sigsbee.org
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Email address:
*
Your answer
Student(s) name and grade
*
Your answer
Is your child (children) new to Sigsbee this year?
*
Yes
No
Required
Are you a military family?
*
Yes
No
Did you fill out the Needs Assessment last school year?
*
Yes
No
How important is a sense of belonging at your child's/children's school?
*
Not important at all
1
2
3
4
5
Extremely important
Would you be interested in a mentor for your child?
*
Yes
No
Would you like to see any of the following?
*
Family events during the school day
Family events after school or on the weekends
Support groups for family members (new to KW, military, deployments, parenting, etc)
Volunteer opportunities during the school day (assisting with teacher prep, lunch/recess support, PTO tasks, etc.)
I am satisfied with the current options
Other:
Required
Please check which item(s) you need clarification/additional information.
*
Yearly volunteer requirements for Sigsbee families
Wednesday enrichment
Strike policy
Dress code
Field Trip Expectations
Options for students struggling with behaviors and/or emotional difficulties
Moving/PCSing/Withdrawal process
School Policies
Grading/Assessments criteria
None of the above
Other:
Required
Please check what areas have been difficult for your child (children):
Making friends
Academic demands
Regular school attendance
Acting out in school
Acting out at home
Following classroom routines and expectations
None of the above
Other:
Would your family benefit from any of the following supports?
*
New/like new clothing
Backpack/lunch box/reusable water bottle
Financial assistance with extracurricular activities outside of school
Personal hygiene items
New undergarments (socks, underware, bra)
Local resources (food assistance, transportation, affordable healthcare, childcare, housing, employment)
Community mental health resources
None of the above
Other:
Required
Are you concerned about any of the following in your child (children)?
*
Anxiety
Decreased mood
Trouble sleeping
Irritability
Anger outbursts
Attendance/school avoidance
Frequent isolation
Substance use/suspicion
Ongoing sense of fear
Difficulty with peer interaction
Current or past self harm (cutting, picking, burning, hair pulling)
Food avoidance
None of the above
Other:
Required
Would you like your child to receive more individualized support for their emotional well-being at school (1:1 with the social worker, small groups, lunch bunch, friendship groups)?
*
Yes, I would like to be contacted to set up additional support in school.
No extra support is needed at this time.
I will reach out to the school social worker if/when this support is needed for my child/children.
Would you like to set up a phone call or meeting with the school social worker to discuss your family's/child's situation further?
*
Yes
No
I will email Ms. Katelyn at
Katelyn.silvoy@sigsbee.org
Is it valuable to you to have a school social worker available?
*
Yes
No
Other:
**Please only answer the following questions unless you are a military connected family**
How difficult was your most recent PCS move?
Not difficult at all
1
2
3
4
5
Extremely difficult
Clear selection
Is your family currently struggling with a deployment or upcoming deployment?
Yes
No
Clear selection
Do you feel supported by the community in Key West?
Yes
No
Clear selection
Is your family struggling living far away from supports and family members?
Yes
No
Clear selection
Is your family struggling with feeling connected to the military community in Key West?
Yes
No
Clear selection
Would you family like additional support from Sigsbee Charter with adjusting to Key West?
Yes
No
Clear selection
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Sigsbee Charter School.
Does this form look suspicious?
Report
Forms
Help and feedback
Contact form owner
Help Forms improve
Report