WMS 2022-2023 Needs Assessment

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Please complete this form to help the Counseling Department determine the types of programs we will offer this year. This is an anonymous survey, please feel welcome to answer honestly.
**Students please answer the questions about your own needs.**
***Parents/Teachers answer the questions based on what you perceive as your child's /student´s needs.***

I am a... *

Student - Please answer the questions based on your own needs

Teacher - Please answer the questions based on what you perceive as your student´s needs

Parent - Please answer the questions based on what you perceive as your child´s needs

Grade level *

6th

7th

8th

Gender

Female

Male

Other

Selectie wissen

I need help making friends *

Yes

I have thoughts about hurting myself *

Yes

I want to learn more about goal setting *

Yes

I need help dealing with peer pressure *

Yes

I need help fitting in at school *

Yes

I need help with expressing myself to other people *

Yes

I need help getting involved in school activities *

Yes

I need help with dating or relationship issues *

Yes

I have concerns about alcohol and/or drug use *

Yes

I need help improving my self-confidence *

Yes

I need help feeling better about myself *

Yes

I need help handling teasing or being bullied *

Yes

I need help getting along with other students *

Yes

I need help getting along with family members *

Yes

I have trouble disconnecting from my phone *

Yes

I have feelings of sadness/depression *

Yes

I have thoughts of suicide *

Yes

I am grieving (sad, angry, lonely) over the loss of a loved one *

Yes

I need help dealing with the divorce or separation of my parents *

Yes

I need help controlling my anger *

Yes

I need help dealing with stress *

Yes

I need skills for resolving conflicts *

Yes

I need help with anxiety *

Yes

I need to be more organized *

Yes

I need to manage my time better *

Yes

I need to improve my study skills *

Yes

I feel very nervous when I take tests *

Yes

I understand how my test scores are connected to academic and career planning *

Yes

I want to understand my learning style to improve how I learn *

Yes

My counselor is available to me when I need to see her *

Yes

I feel comfortable going to see my counselor to get help *

Yes

I like coming to school *

Yes

Other things I want help with/would like to see offered by the counseling department this year

Verzenden

Formulier wissen

Verzend nooit wachtwoorden via Google Formulieren.

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