Grades 2-5 Student Needs Assessment Survey 2022-2023 SY

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Grade level *

2nd grade

3rd grade

4th grade

5th grade

Gender *

Female

Male

Prefer not to say

Do you know where your school counselor's office is located? *

Yes

I may need help with the following academic/career concerns: (Check your top 3) *

Being more organized

Time Management

Reducing Test Anxiety

Exploring future careers

Understanding the importance of graduating high school

Learning how to set goals for myself in life

Improving study and test taking skills

必填

I may need help with the following personal/social concerns throughout this year: (Check your top 3) *

Making friends

Dealing with peer pressure

Negative self-talk or feelings of stress

Standing up for myself

Skills for resolving conflicts

Feelings of sadness or depression

Concerns of Cutting/self harm

Dealing with anger

Grief over the loss of a loved one

Concerns about alcohol and/or drug issues

Handling teasing or being bullied

Making better decisions

Feeling better about myself

必填

Choose the topics below that you need help with to do better for college and career readiness. *

Behaviors such as paying attention, completing assignments, persisting in difficult tasks, and regulating one's own actions (thinking before acting)

Knowledge of, and exposure to, potential career options

Academic goals

Monitoring performance and progress

The importance of a college education

Alternative career options

必填

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