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Counseling Needs Assessment
This is a brief survey to understand the needs of our students, staff, and their families, in terms of counseling support, during this temporary COVID-19 Quarantine.
* Indicates required question
Email
*
Your email
Name:
*
Your answer
Grade
*
Grade 6
Grade 7
Grade 8
Best way to contact you:
*
Email
Phone
Video Conferencing
Email Address:
*
Your answer
Best Phone Number:
*
Your answer
Preferred Counselor/Social Worker to work with:
*
Krista Dobosh (8th Grade)
Erin Wilkinson (6th & 7th Grade)
Miss Amarah (Mrs. Dobosh's Intern)
Miss Gianna (Ms. Wilkinson's Intern)
Pam Hanson-White (Native American Advisor)
Amanda Beda (New Social Worker)
Counseling Needs:
*
Information on Anxiety/Stress
Information on Depression
One-on-one Counseling session(s)
Family Concerns
Cyber Safety/Cyber Bullying
Self-Discovery/ Growth Activities
Goal Setting/ Career and College Preparedness
Time Management
Relaxation and Self- Reflection Activities
Interpersonal Communication Skills
Educational Concerns/Questions
Family Resource Help (Food, Shelter, Medical, etc)
Other:
Required
If you clicked on One-on-one Counseling Session(s): Please provide more information regarding what you might be wanting in terms of support and frequency.
Your answer
A copy of your responses will be emailed to the address you provided.
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