EWMS Counseling Needs-Students 20-21

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As the school counselor, I am here to help you with whatever worries or concerns you have. There aren't any problems that are too big, too small, or too private to discuss with me. This survey will serve as a guide in determining some ways I might help you this year. It is important that you complete the survey honestly and completely.
Remember, I am always available to help! You can put a note in my locker on your hall, send me an email, call me or ask your teacher to give me a call!
- Mrs. Hodges

Name - First and Last *

My home base teachers name is

Cook

Bare (6th)

King (6th)

Ray (6th)

Reeves (6th)

Roten (6th)

Beasley (7th)

Combs (7th)

Foster (7th)

Gray (7th)

Somers (7th)

Thomas (7th)

Blevins (8th)

Chipman (8th)

Eudy (8th)

Hinshaw (8th)

Riley (8th)

Please describe yourself *

6th grade

7th grade

8th grade

Academic Development *

I need help . . .Check all that apply

getting to school/getting to school on time everyday

organization/time management

understanding the way I learn

improving my study skills

setting goals

making good decisions

dealing with test anxiety

understanding how to use CANVAS

no help needed in the above areas

Other:

Required

Career Development *

I would like . . .Check all that apply

to know more about career choices

to know more about college/community college

to know more about how my interests relate to future career and college options

to learn how to research career and college options

help getting along with others

to learn how to communicate better with others

no help needed in the above areas

help paying for college

Other:

Required

Personal/Social *

I need help . . .Check all that apply

with making and keeping friends

talking to my teacher and other adults

dealing with my anger

respecting myself and others

dealing with stress

dealing with bullying/cyberbullying

dealing with the death of a loved one

adjusting to middle school

dealing with a parent being in prison/jail

dealing with my parents divorce/separation

with family issues

dealing with peer pressure

making alcohol and drug-free choices

no help needed in the above areas

Other:

Required

I would like to participate in a small group of students who will meet with Mrs. Hodges to help me deal with ... *

Friendship

Grief/Loss through death or divorce

Managing my Anger

Anxiety

I dont want to participate at this time

Other:

Required

I would like to know a little more about you... list 3 things you enjoy doing. *

Please tell me the top 3 things that worry you. *

Finally, list 3 of your career interests or what you want to do when you complete high school. *

Help me help your classmates. What are some issues that you see as problems at your grade level. *

Use the space below to tell me anything you would like for me to know.

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