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Polser ES Counseling Needs Assessment
2022-2023
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* Indicates required question
Please select which best describes you.
*
Teacher
Staff (paraprofessional, office personnel, cafeteria worker, etc.)
Administrator
Other Professional (CIS, social worker, SPED Counselor, SAC Counselor, etc.)
Parent/Guardian
Interested Community Member
To what degree is our school in need of services to address the following:
Character Education
*
Not needed
1
2
3
4
5
Highly needed
Multi-Cultural/Diversity Awareness
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Not needed
1
2
3
4
5
Highly needed
Substance Abuse
*
Not needed
1
2
3
4
5
Highly needed
Social and Relationship Skills
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Not needed
1
2
3
4
5
Highly needed
Managing Feelings
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Not needed
1
2
3
4
5
Highly needed
Self Control
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Not needed
1
2
3
4
5
Highly needed
Self-Esteem - Understanding & Accepting of Self
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Not needed
1
2
3
4
5
Highly needed
Friendship
*
Not needed
1
2
3
4
5
Highly needed
Bullying/Harrassement/Cyberbullying
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Not needed
1
2
3
4
5
Highly needed
Conflict Resolution
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Not needed
1
2
3
4
5
Highly needed
Problem Solving/Decision Making
*
Not needed
1
2
3
4
5
Highly needed
Stress Management
*
Not needed
1
2
3
4
5
Highly needed
Academic Performance
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Not needed
1
2
3
4
5
Highly needed
Organization/Study Skills
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Not needed
1
2
3
4
5
Highly needed
Career Awareness & Exploration
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Not needed
1
2
3
4
5
Highly needed
Grief & Loss
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Not needed
1
2
3
4
5
Highly needed
Mental Health
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Not needed
1
2
3
4
5
Highly needed
Parent Outreach/Support
*
Not needed
1
2
3
4
5
Highly needed
To what degree is our school need of the following services:
Individual Counseling
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Not needed
1
2
3
4
5
Highly needed
Group Counseling
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Not needed
1
2
3
4
5
Highly needed
If you are a parent and believe your child would benefit from participating in a short term (no more than 6 sessions) counseling group with other students, please type your child's first and last name and grade level (ex. John Smith 000000) Then check boxes below...
Your answer
Groups you would believe your child would benefit from:
Grief & Loss
Divorce or Difficult Family Situation
Anger Management
Social Skills & Character Building
Other (please type in the comment section below another group topic you would participate in)
Providing Information on Social, Emotional, and Behavioral Issues (can be for staff, students, and or family)
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Not needed
1
2
3
4
5
Highly needed
Classroom Guidance Lessons
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Not needed
1
2
3
4
5
Highly needed
Assisting with Parent Conferences
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Not needed
1
2
3
4
5
Highly needed
Learning Opportunities with Counselors on Different Topics
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Not needed
1
2
3
4
5
Highly needed
Additional comments/concerns:
Your answer
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