Secondary (Parent) Questionnaire
To help the school counselor plan the best activities for this school year please rate each of the following items below to show how important each item is to you.
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Student listening to other people’s ideas and perspectives.
Hardly Ever
Almost Always
Clear selection
Student noticing body language and expression how others are feeling.
Hardly Ever
Almost Always
Clear selection
Student celebrating other people’s awards and accomplishments.  
Hardly Ever
Almost Always
Clear selection
Student thinking about how others might be feeling
Hardly Ever
Almost Always
Clear selection
Student standing up for themselves and others who are mistreated.
Hardly Ever
Almost Always
Clear selection
Student taking responsibility for the safety of people around me.
Hardly Ever
Almost Always
Clear selection
Student seeking out people that are different from me.
Hardly Ever
Almost Always
Clear selection
Student is aware that not everyone reacts to situations the same way I do.
Hardly Ever
Almost Always
Clear selection
Student is concerned about how racism impacts me at school.
Hardly Ever
Almost Always
Clear selection
Student needs help dealing with stress
Clear selection
Student needs help staying organized
Clear selection
Student needs help getting comfortable with being back at school/at a new school.
Clear selection
Student needs help improving my study skills.
Clear selection
Student wants to learn more about college
Clear selection
Student wants to learn more about different careers
Clear selection
Student feels understood and supported by my teachers and other school staff
Clear selection
I would like a counselor to call me
Clear selection
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