Pulaski Heights Middle School
Needs Assessment

Age___________          Gender___________         Ethnicity__________    Grade :Level____________

Student Instructions:  The guidance department wants to ensure we develop and provide programs that meet your needs and determine how well we are meeting your needs.  Please be totally honest in your responses.  Only you will know the answers you provide as we include no student identifying information on this survey.  This survey will help us learn how many students need programs and activities on certain topics.  Thank you for helping us better meet your needs.

PLEASE READ EACH STATEMENT AND MARK THE MOST APPROPRIATE ANSWER CHOICE FOR YOU.
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Age *
Your answer
Gender *
Your answer
Ethnicity* *
Your answer
Grade Level *
Your answer
Answer each statement and check how true it is .  I need help with the following PERSONAL concerns: *
Please start with Question 1 below:
Question 1 Making Friends *
Question 2 Fitting in at School *
Question 3 Dealing with Covid-19 Pandemic *
Question 4 Improving Communication *
Question 5 Getting involved in school activities *
Question 5 Getting involved in school activities *
Question 6:  Dating or relationship issues *
Question 7:  Concerns about alcohol and/or drug use *
Question 8:  Helping myself (gaining more self-confidence, feeling better about myself, expressing my feelings and thoughts) *
Question 9:  Handling teasing or being bullied *
Question 10:  Getting along better with other students better *
Question 11:  Getting along better with family members *
Question 12:  Feeling stressed *
Question 13:  Skills for resolving conflicts *
Question 14:  Understanding BLM-Black Lives Matter *
Question 15:  Learning virtually online *
Question 16:  I feel comfortable talking about Learning virtually online *
Question 16:  I feel comfortable talking about BLM - Black Lives Matter *
I need help with the following SCHOOL concerns: *
Please start with Question 17 below:
Question 17:  Being more organized *
Question 18:  Managing my time better *
Question 19:  Improving study skills *
Question 20:  Reducing Test Anxiety *
Question 21:  Planning my options after high school *
Question 22:  Understanding what my test scores mean in relation to academic and career planning *
Question 23:  Understanding the best career options for me *
Question 24:  Understanding my learning style to improve how I learn *
Question 25:  Understanding graduation requirements *
Please check how much you agree with the following statements: *
Please start with Question 26 below:
Question 26:  My school counselor is available to me when I need to see her. *
Question 27:  I feel comfortable going to see m school counselor to get help with SCHOOL concerns. *
Question 28:  I feel comfortable going to see m school counselor to get help with PERSONAL concerns. *
Question 29:  My classes keep me interested in the topic. *
Question 30:  My teachers are willing to help me when I have questions. *
Question 31:  The school is involved in developing my educational plan. *
Question 32:  I understand why I take the state assessment. *
Question 33:  I understand why I need a good education. *
Question 34:  I will stay in school until I graduate high school.   *
Question 35:  I will continue my education after high school.   *
Question 36:  I like learning virtually online.   *
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