School Counseling Caregiver Needs Assessment

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Hi Caregivers! Thank you for taking the time to fill out this survey! Your responses will help me plan relevant and meaningful programming for our students.

Best,

Hayley Hook, LSW

What is your name?
*

What is your child(ren)'s name(s)?
*

Please check your preferred contact method below.

Phone call

Required

Please provide your contact information below.
*

How can the school counselor help you and your child?
*

Access to food

Access to clothing

Access to school supplies

Access to hygiene products

Support for my child's behavior

Support for my child's learning

Finding a therapist for my child

Help with technology

Parenting skills and strategies

Grief and loss support

Coping with divorce and co-parenting

We are okay for now

Other:

Required

Which areas do you think would be most helpful to your child for school counseling programming?

NEEDED!

Maybe

Not yet

Making and keeping friends

Identifying and expressing feelings

Coping with anger

Self-control

Study skills

Bullying prevention

Personal safety

Career awareness

Behavior, making good choices

Kindness

Self-esteem

Test-taking skills

Growth mindset

Coping with stress and anxiety

Mindfulness

Digital citizenship, internet safety

Diversity and acceptance

Sportsmanship and teamwork

How else can I support you and your child?

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