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Elementary School Student Needs Assessment
Hello Students!
Completing this assessment will help me to plan meaningful and useful lessons that will provide the knowledge and guidance needed to meet your academic, social, and emotional needs.
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Pathway K-5
*
Option 1
Required
Grade Level
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2nd
3rd
4th
5th
Gender
*
Female
Male
Prefer not to say
Other:
Race
*
White
African-American
Asian
Hispanic
American Indian/Native American
Bi-racial
Other:
Please check areas that you wish to work on
*
Making Friends
Conflict Resolution
Making Good Grades
Improving Study Skills
Communicating My Feelings
Test Anxiety
Self-Control
Coping with Sadness/Grief
Handling/Reporting bullying or teasing
Becoming a School Leader
Dealing with Change
Speaking Up For Myself
Required
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