School Counselor Student Needs Assessment 2023 (2nd-4th) 
We would like to get to know you better!  Please answer the questions below and click submit. We look forward to learning more about you and your needs.
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Student's Full Name (First and Last): *
What grade are you in? *
Who is your homeroom teacher? *
Who do you live with? Tell us about your family and pets.
Do you live in one house or do you travel between a few houses?  *
Do you see a counselor, mental health worker or therapist outside of school
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What activities keep you busy outside of school? (examples: clubs, sports, interests, chores, church) *
What are some of your skills/gifts? What are you good at? *
What are you looking forward to with school?
What worries you about school or is difficult for you at school? 
What adult in your family do you feel comfortable talking to? *
As your school counselors, what is something we could help you with? *
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