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2020-2021 Heritage Parent School Counseling Needs Assessment
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* Indicates required question
Please select all grades your student(s) is/are in.
*
Freshman
Sophomore
Junior
Senior
Required
How often do you interact with your student's school counselor?
*
Weekly
Monthly
A Couple of Times Per Year
Rarely
Other:
Are you aware that the Heritage School Counseling Department/United Mental Health Team includes a School Psychologist (Ms. Tannuzzo), a School Social Worker (Ms. Saunders), and a Student Assistance Specialist (Ms. Marshall)?
*
Yes
No
On a scale of 1-5 please rate your response to the following statement: The Heritage School Counseling Department effectively addresses student academic needs.
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Strongly Disagree
1
2
3
4
5
Strongly Agree
On a scale of 1-5 please rate your response to the following statement: The Heritage School Counseling Department effectively addresses student social/emotional needs.
*
Strongly Disagree
1
2
3
4
5
Strongly Agree
On a scale of 1-5 please rate your response to the following statement: The Heritage School Counseling Department effectively addresses student college/career needs.
Strongly Disagree
1
2
3
4
5
Strongly Agree
Clear selection
What are your biggest areas of academic concern for your student(s)?
*
Making appropriate course selections
Managing academic success
Successful study habits
Motivation
Homework completion
Understanding graduation requirements
Working with peers
Other:
Required
What do you predict will be some barriers to your student(s)' success?
*
Not Having School Structure
Phone/TV/Games/Electronic Distractions
Internet Reliability
Basic Needs (Food/shelter/etc.)
Not Having a Quiet Space to Work and Meet with Classes
Family Responsibilities
Other:
Required
What are your biggest areas of Personal/Social concern for your student(s)?
*
Managing Social Media
Peer Relationships
Healthy Dating Relationships
Social Isolation
Anxiety
Depression or Suicidal Thoughts
Building Resilience for Facing Challenges
LGBTQ Support
Knowing Where and How to Seek Help
Using Coping Strategies in Stressful Situations
Feeling Like They are a Part of the School Community
Other:
Required
What are your biggest areas of College/Career concern for your student(s)?
*
Being Accepted to College
Determining Post-Secondary Plans
Understanding the College Application Process
Selecting a Career Interest
Financing College
Preparing for Life After College
Requesting Teacher Letters of Recommendation
Other:
Required
How confident are you in your student(s)' ability to find success this school year?
*
Not Confident at all
1
2
3
4
5
6
7
Very Confident
What school-based supports do you think could help your student(s) find success?
*
Your answer
If you are interested in your child participating in a small group during the school year please indicate the topic(s), and include your email address if you would like to be contacted.
Your answer
What presentations would you like to see from the School Counseling Department during the year?
*
Your answer
What do you see as an area for growth in the School Counseling Department?
*
Your answer
What do you see as an area of strength in the School Counseling Department?
*
Your answer
Please note any additional thoughts, comments, or feedback.
Your answer
What is the best form of communication to send you reminders and information?
*
Email
Twitter
Instagram
Remind
Facebook
Schoology
Other:
Required
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