To what degree is our school in need of the following services?
1 (Not Needed)
2
3 (Some Need)
4
5 (Strongly Needed)
Individual Counseling
Small Group Counseling
Classroom Counseling Lessons
Parent Support (i.e. Parent Coffees/Informational Nights focused on behavior strategies, social-emotional wellness, etc)
Parent Outreach/Referrals to Outside Resources
1 (Not Needed)
2
3 (Some Need)
4
5 (Strongly Needed)
Individual Counseling
Small Group Counseling
Classroom Counseling Lessons
Parent Support (i.e. Parent Coffees/Informational Nights focused on behavior strategies, social-emotional wellness, etc)
Parent Outreach/Referrals to Outside Resources
Clear selection
Areas of Need
In thinking about your child(ren) and their peer group, to what degree are students in need of services to address the following topics?
1 (Not Needed)
2
3 (Some Need)
4
5 (Strongly Needed)
Anger Management
Career Awareness
Conflict Resolution Skills
Cooperation and Teamwork
Coping Skills (Managing strong feelings)
Goal Setting
Making and Keeping Friends
Motivation and Effort
Organization and Study Skills
Relational Aggression (Problem solving in friendships)
Self-Control
Self-Esteem
Social Skills
Study/Testing Strategies
1 (Not Needed)
2
3 (Some Need)
4
5 (Strongly Needed)
Anger Management
Career Awareness
Conflict Resolution Skills
Cooperation and Teamwork
Coping Skills (Managing strong feelings)
Goal Setting
Making and Keeping Friends
Motivation and Effort
Organization and Study Skills
Relational Aggression (Problem solving in friendships)
Self-Control
Self-Esteem
Social Skills
Study/Testing Strategies
Clear selection
Comments
Please list any additional topics you would like to see addressed:
Your answer
Questions About Our School Counseling Program
I have a clear understanding of the school counseling program and the counselor's role within the school:
Strongly Disagree
Strongly Agree
Clear selection
The school counseling program helps students develop socially and emotionally:
Strongly Disagree
Strongly Agree
Clear selection
The school counseling program helps to enhance the academic achievement of all students:
Strongly Disagree
Strongly Agree
Clear selection
Students referred to the counselors are seen in a timely manner:
Strongly Disagree
Strongly Agree
Clear selection
Strengths and Areas to Improve
Please take a moment to share any additional feedback below. Your feedback is valuable and will help me to continue to improve our counseling program for students and staff.
Strengths
Please share some strengths about the current school counseling program:
Your answer
Areas to Improve
Please share some ways we could improve the school counseling program:
Your answer
Additional Feedback
Do you have any other feedback to share?
Your answer
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