Student Needs Assessment

Student Needs Assessment (High School) Age: Gender: Ethnicity: Grade level: Student Instructions: The school counseling department wants to ensure we develop and provide programs that meet your needs and determine / know how well you believe the school counselor is meeting your needs. Please be totally honest in your responses. Only you will know the answers you provide as we include no student identifying information on this survey. This survey will help us learn how many students need programs and activities on certain topics. Thank you for helping us better meet your needs. PLEASE READ EACH STATEMENT AND MARK THE MOST APPROPRIATE ANSWER CHOICE FOR YOU. Answer each statement and check how true it is. I need help with the following PERSONAL concerns: 1. Making friends 2. Fitting in at school 3. Dealing with peer pressure 4. Making better decisions 5. Improving communication 6. Transitioning to a new school 7. Pregnancy Teen/Parenting 8. Getting involved in school activities 9. Dating or relationship issues

Strongly Agree

Agree

Neither Agree nor Disagree

Disagree

Strongly Disagree

10. Concerns about alcohol and/or drug use 11. Helping myself (gaining more selfconfidence, feeling better about myself, expressing my feelings and thoughts) 12. Being more assertive 13. Handling teasing or being bullied 14. Getting along with other students better 15. Getting along better with family members 16. Feeling sad or depressed 17. Feeling suicidal 18. Grief over the loss of a loved one 19. Parental divorce of separation 20. Dealing with anger 21. Feeling stressed 22. Feeling anxious or irritable 23. Concerns about alcohol and/or drug use 24. Skills for resolving conflicts I need help with the following SCHOOL concerns: 25. Being more organized 26. Managing my time

Strongly Agree

Agree

Neither Agree nor Disagree

Disagree

Strongly Disagree

better 27. Improving study skills 28. Reducing test anxiety 29. Improving test-taking skills 30. Understanding what my test scores mean in relation to academic and career planning 31. Developing my course schedule 32. Understanding the best career options for me 33. Planning my options after high school 34. The college application process 35. Understanding my learning style to improve how I learn 36. Knowing about and applying for scholarships and financial aid 37. Knowing what educational options are available to me when I graduate 38. Getting along with teachers 39. Transitioning to a new school 40. Understanding graduation requirements 41. Selecting a career cluster or concentration Please check how much

Strongly

Agree

Neither

Disagree

Strongly

you agree with the following statements: 42. I know who my counselor is. 43. My counselor likes me. 44. My counselor is available to me when I need to see/him or her. 45. I feel comfortable going to see my counselor to get help with SCHOOL concerns. 46. I feel comfortable going to see my counselor to get help with PERSONAL Concerns. 47. My classes keep me interested in the topic. 48. I like coming to school. 49. My teachers are willing to help me when I have questions. 50. My counselor has met individually with me least once to help me plan my schedule for next year. 51. The school is involved in my developing my education plan. 54. Someone in the school has regularly helped me plan for my future career. 55. There is at least one staff member in the school that I believe cares deeply about me and my success.

Agree

Agree nor Disagree

Disagree

Please check how much you agree with the following statements: 56. I have a clear career plan to follow when I graduate. 58. I am involved in at least one school activity outside of class. 59. I understand why I need a good education. 60. I will stay in school until I graduate high school. 61. I will continue my education after high school.

Strongly Agree

Agree

Neither Agree nor Disagree

Disagree

Strongly Disagree