Upper Elementary School: Student School Counseling Needs Assessment Survey

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Select your school *

Select your grade *

3rd

4th

5th

How many years have you been going to this school? *

First year, recently enrolled

How do you feel about your School Counselor? *

Excellent

Good

Average

Poor

How do you feel about school? *

Exellent

Good

Average

Poor

Read the sentence below and check whether you strongly agree, somewhat agree, somewhat disagree, strongly disagree or not sure. *

Strongly Agree

Somewhat Agree

Somewhat Disagree

Strongly Disagree

Not sure

I know where my school counselor's office is.

I feel comfortable talking to my school counselor about personal issues.

My school counselor helps me prepare for my future goals.

Classroom guidance lessons are helpful for students at this school.

Choose 5 topics you're most interested in learning about. *

Learning about future jobs.

Setting goals.

Studying.

Self-Motivation

Organizing my things.

Learning about my new school.

Knowing the difference between right and wrong.

Students doing hurtful things.

Dealing with things that make me angry.

Working through conflict.

Feeling good about who I am.

Family Problems.

Acceptance of others

Other:

Required

The School Counselors meets with students as a group throughout the school. If you are interested in a particular group/topic, please write your name and the topic. You can choose from the topics above or list another option. Please know that this does not necessarily guarantee that this group will happen. *

What comments or suggestions do you have for the school counseling program? *

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