JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Grades 2-5 Student Needs Assessment Survey 2022-2023 SY
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Grade level
*
2nd grade
3rd grade
4th grade
5th grade
Gender
*
Female
Male
Prefer not to say
Do you know where your school counselor's office is located?
*
Yes
No
I may need help with the following academic/career concerns: (Check your top 3)
*
Being more organized
Time Management
Reducing Test Anxiety
Exploring future careers
Understanding the importance of graduating high school
Learning how to set goals for myself in life
Improving study and test taking skills
Required
I may need help with the following personal/social concerns throughout this year: (Check your top 3)
*
Making friends
Dealing with peer pressure
Negative self-talk or feelings of stress
Standing up for myself
Skills for resolving conflicts
Feelings of sadness or depression
Concerns of Cutting/self harm
Dealing with anger
Grief over the loss of a loved one
Concerns about alcohol and/or drug issues
Handling teasing or being bullied
Making better decisions
Feeling better about myself
Required
Choose the topics below that you need help with to do better for college and career readiness.
*
Behaviors such as paying attention, completing assignments, persisting in difficult tasks, and regulating one's own actions (thinking before acting)
Knowledge of, and exposure to, potential career options
Academic goals
Monitoring performance and progress
The importance of a college education
Alternative career options
Required
Submit
Clear form
This content is neither created nor endorsed by Google.
Report Abuse
-
Terms of Service
-
Privacy Policy
Forms
