2019-2020 MS Student Needs Assessment Form 1
Please help your counselors determine which classroom guidance lessons and small group counseling sessions would be most helpful by completing this survey.
The topics address INTERpersonal relationships such as appreciating differences, learning how to effectively communicate with others, and navigating relationships. The survey also asks questions to address INTRApersonal topics such as finding ways to manage the demands of school and social activities, making positive decisions and taking responsibility for your actions. Thank you for your time and input!
Student ID *
What grade are you in? *
Please rank the following classroom guidance topics, with 1 being the least helpful and 4 being the most helpful, to indicate how beneficial you think each topic would be for you and your classmates. *
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2
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4
Feel good about myself
Manage demands of school, social activities, and family
Information about alcohol/drug use
Making responsible choices
Please rank this group of classroom guidance topics, with 1 being the least helpful and 4 being the most helpful, to indicate how beneficial you think each topic would be for you and your classmates. *
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2
3
4
Understanding how prejudices can be harmful
Having positive relationships with friends, dating partners, family members, and teachers
Learning how to effectively communicate with others
Understanding how to work through conflicts
Please rank the following classroom guidance topics, with 1 being the least helpful and 4 being the most helpful, to indicate how beneficial you think each topic would be for you and your classmates. *
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2
3
4
Selecting a career or college path
Setting goals for after graduation
Understanding how grades can affect your choices after high school
Motivation to achieve in school
Please rank this set of classroom guidance topics, with 1 being the least helpful and 4 being the most helpful, to indicate how beneficial you think each topic would be for you and your classmates. *
1
2
3
4
Learning how to cope with stressful situations
Learning how to set personal boundaries
Creating a personal wellness plan
Communicating my needs with others
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