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6th Grade Needs Assessment 2023-2024
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* Indicates required question
I need help with the following ACADEMIC concerns:
Reducing test anxiety
*
Yes
No
Being organized
*
Yes
No
Managing my time better
*
Yes
No
Improving study skills
*
Yes
No
I need help with the following PERSONAL concerns:
Dealing with peer pressure
*
Yes
No
Feeling stressed
*
Yes
No
Feeling sad or depressed
*
Yes
No
Handling teasing or being picked on
*
Yes
No
Feeling lonely or hopeless
*
Yes
No
Grief over the loss of a loved one
*
Yes
No
Concerns about alcohol and/or drug use
*
Yes
No
Concerns about dating or sexuality
*
Yes
No
Parental divorce or separation
*
Yes
No
Engaging in self-harm
*
Yes
No
Helping myself feel good- positive self esteem
*
Yes
No
Dealing with anger
*
Yes
No
Making friends
*
Yes
No
Please check your responses for the following questions:
I like coming to school.
*
Yes- all the time
Most of the time
Sometimes
Never
I know HOW to go see my school counselor
*
Yes
No
My school counselor is available when I need to see her.
*
Yes
No
I feel comfortable talking to my school counselor about SCHOOL concerns.
*
Yes
No
I feel comfortable talking to my school counselor about PERSONAL concerns.
*
Yes
No
Would you like to discuss your responses with the school counselor? If yes, please include your name in the following questions.
*
Yes
No
I would like to discuss my responses with the school counselor. My name is:
Your answer
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