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CONFIDENTIAL Student Needs Assessment
survey for students grades 6-8 at the beginning of the 20-21 school year
* Indicates required question
Email
*
Your email
What is your name?
*
Your answer
What community are you assigned to?
*
C1
C2
C3
C4
C5
C6
Tell me something interesting about you.
*
Your answer
Tell me a little bit about how online learning went for you in the spring.
*
Your answer
What concerns do you have for the new school year?
*
Your answer
How confident are you that you will be able to be successful with online learning this fall?
*
I am really worried- Online learning does not work for me
1
2
3
4
5
Extremely confident-not worried at all
Everyone has been affected by COVID-19. Some students have people in their family who have been diagnosed while others have just felt lots of stress and anxiety about the virus. How has living through this virus affected you?
Your answer
Rate your stress/anxiety about COVID-19.
*
I worry about it all the time
1
2
3
4
5
No stress, its whatever
The murders of George Floyd, Ahmaud Arbery, and Breyonna Taylor by police this summer have caused lots of unrest and trauma in kids and adults. How has it affected you?
Your answer
Rate your trauma/stress/anxiety about this summer's police brutality and resulting protests and unrest.
*
I worry about it a lot and don't feel great
1
2
3
4
5
I think I am handling it well
Have there been any significant changes in your life in the last 12 months? (ie. dog died, mom had a baby, friend moved away, etc)
*
Your answer
Please indicate if you would like to be included in any of the following counseling groups this year (mark all that apply)
How to manage anxiety
How to manage grief/loss of a loved one
How to stay organized in an online learning environment
How to manage family changes
If you are new to Lakewood Montessori this year, would you be interested in participating in a social lunch group that could help you make some new friends?
Yes
No
Maybe
Clear selection
Is there anything else that you want me to know?
Your answer
Send me a copy of my responses.
Submit
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