FIVE Parent Needs Assessment

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Hello! The FIVE School Counseling Department is looking forward to supporting your child's academic, career, and social/emotional growth and would like to determine how to best meet your child's needs. Please answer the following questions to assist us in planning individual, large, and small group activities during the 2022-23 academic year. Your input will assist us in creating a program designed specifically to address your child's developmental needs. Thank you in advance!

Email *

Student Grade Level *

Academic and Career Topics: Select the TOP 5 topics where your child may need information and support *

Academic

Self-Esteen

Handling Academic Stress

Failing/Declining Grades

Communication Skills

Organization/Study Skills

Time Management

Goal Setting

Career Exploration

Other:

Required

Social and Emotional Topics: Select the top 5 topics where your child may need information and support *

Anger Management

Conflict Resolution

Friendship Skills

Self-image/ Self-esteem

Depression

Peer Pressure

Bullying

Appropriate use of social media

Coping Skills

Self-Harm

Stress/Anxiety

Personal Safety

Cooperation/Teamwork

Required

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