LHS Needs Assessment (12) 2018-2019
This survey is given to you from the Counseling Department. We want to give you a chance to tell us what sort of issues and counseling services are most important to you. All your answers are confidential with the exception of the following: you want to hurt yourself, someone is hurting you, you want to hurt someone else, or you know someone else who is being hurt.
First Name *
Your answer
Last Name *
Your answer
Grade *
I know how to access my counselor at LHS if I need to see him/her.
I know how to get academic help if I need it (ex: tutoring, etc).
I have at least one peer that I can talk to about my problems.
I have at least one adult I can talk to about my problems.
If you had a problem and needed to talk to someone at school, who would you go to?
After high school I am planning to...
Do you need any of the following?
Check as many as apply. Your school counselor may meet with you to help respond to these needs.
Never submit passwords through Google Forms.
This form was created inside of Lebanon Community Schools. Report Abuse - Terms of Service