School Counseling Needs Assessment (Students)
Your school counselors want to ensure we develop and provide programs that meet your needs and determine / know how well you believe the school counselor is meeting your needs. Please be totally honest in your responses.

Name
Your answer
Grade
If you need help with any of the following PERSONAL concerns choose YES.
Making Friends *
Fitting in at school *
Dealing with peer pressure *
Getting better at talking to others *
Dating / Liking someone *
Concerns with alcohol or drug use *
Helping myself feel better about who I am *
Handling teasing or cyberbullying *
Getting along with other students *
Feeling sad or depressed *
Thinking about cutting self or suicide *
Sadness over death of a friend or family *
Parents divorce or separation *
Feeling safe at home or at school
Being angry *
Finding solutions to problems *
If you need help with the following SCHOOL concerns choose YES.
Being more organized *
Managing my time better *
Learning to study better *
Feeling anxious or worried about my classes *
Understanding possible career options *
Planning what to do after high school *
Knowing how I learn best *
Knowing the graduation requirements *
Check how much you agree with the following statements:
My counselor is available when I need to see her *
I feel comfortable going to see my counselor to get help with SCHOOL concerns *
I feel comfortable going to see my counselor to get help with PERSONAL concerns
I like coming to school *
I feel like I belong at school
My teachers are willing to help me *
The school is involved in my education plans *
Do you feel like you need to talk to a counselor about a concern you are currently having?
What is one thing you wish the school counselor knew about you?
Your answer
Submit
Never submit passwords through Google Forms.
This form was created inside of Jefferson County Schools. Report Abuse
Google Forms