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SY 2023-2024 Student Needs Assessment
Students, Please complete the form honestly so that your school counselors will be able to help you have a successful school year. Go Titans!!!
* Indicates required question
Email
*
Your email
Grade 6
Choose
Grade 6
Grade 7
Grade 8
Male
Choose
Male
Female
Other
I need support/help making better grades.
*
High Need
1
2
3
Low Need
I need help with focusing in class.
*
High Need
1
2
3
Low Need
I need support/help to learn effective coping skills in dealing with the pressures of academics issues.
*
High Need
1
2
3
Low Need
I need support/help to learn effective coping skills in dealing with the pressures of social issues. (i.e. getting along with my classmates and peers.
*
High Need
1
2
3
Low Need
I need support/help to learn how to take responsibility for my own learning.
How to ask questions appropriately in class, make teacher aware that I do not understand, etc.
High Need
1
2
3
Low Need
Clear selection
I want to be able to work out problems with others.
What to do when someone makes me mad, angry, hurt, etc?
High Need
1
2
3
Low Need
Clear selection
I want to understand and recognize how my behaviors affect others and how to change/control my behavior when needed.
Knowing how to recognize and deal with behavior when people push my buttons.
High Need
1
2
3
Low Need
Clear selection
I want to be able to handle stressful situations. (i.e. having a disagreement with someone, social media, threats, etc.)
*
High Need
1
2
3
Low Need
I want to be able to make friends and keep friends.
*
High Need
1
2
3
Low Need
I want to develop a better understanding of ethnic, racial, and religious groups.
I want to be more culturally diverse. I want to make friends outside my race.
High Need
1
2
3
Low Need
Clear selection
I want to be happy.
High Need
1
2
3
Low Need
Clear selection
I need to receive more information regarding career options and goal setting.
*
What I want to be when I grow up? Do i want to go to college? Do I want to enlist in the military?
High Need
1
2
3
Low Need
I need to support/help to develop more effective time management and organizational skills.
*
I want to turn my assignments in on time. I want to stay organized with my work. I want to keep my bookbag clean.
High Need
1
2
3
Low Need
I need support/help to develop my academic self-confidence.
*
I am smart. I can do my best. I want to work hard.
High Need
1
2
3
Low Need
I want to have access to group counseling this year.
*
I want to meet and talk with people who I have things in common.
High Need
1
2
3
Low Need
I want to manage the different responsibilities of my various roles (family, friend, work, extra-curricular activities) effectively.
*
High Need
1
2
3
Low Need
I feel Oglethorpe provides me with a safe, caring and encouraging environment.
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Yes
1
2
3
No
I need support in dealing with my teachers.
High Need
1
2
3
Low Need
Clear selection
I need support in dealing with bullies.
High Need
1
2
3
Low Need
Clear selection
I want to know how to set and achieve goals.
High Need
1
2
3
Low Need
Clear selection
I like school.
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Yes
1
2
3
No
I want to have a good working relationship with my teachers.
*
High Need
1
2
3
Low Need
I need help with my Reading or Math Skills.
*
Reading
Math
Both Reading and Math
I want my School Counselor to provide information or lessons about...
Your answer
Information I want my parents/guardians to learn more about are...
Your answer
Please list others ways you would like for your School Counselor to help you...
Your answer
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