Student Needs Assessment (Secondary)


School
     

Gender
     

Grade Level
     

Student Instructions: The school counseling department wants to ensure we develop and provide  programs  that  meet your needs and determine 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. Getting involved in school activities
   
   
   
   
   

5. Dating or Relationship issues
   
   
   
   
   

6. Concerns about alcohol and/or drug use
   
   
   
   
   

7. Helping myself (gaining more self-confidence, feeling better about myself, expressing my feelings, and thoughts such as anger, stress and sadness)
   
   
   
   
   

8. Handling teasing or being bullied
   
   
   
   
   

9. Getting along better with family members
   
   
   
   
   

10. Feeling suicidal
   
   
   
   
   

11. Grief over the loss of a loved one
   
   
   
   
   

12. Parental divorce or separation
   
   
   
   
   

13. Skills for resolving conflict
   
   
   
   
   


I need help with the following school concerns:
  
14. Being more organized
   
   
   
   
   

15. Managing my time better
   
   
   
   
   

16. Improving study skills
   
   
   
   
   

17. Reducing test anxiety
   
   
   
   
   

18. Improving test-taking skills
   
   
   
   
   

19. Understanding what my test scores mean in relation to academic and career planning
   
   
   
   
   

20. Planning my options after high school
   
   
   
   
   

21. Understanding my learning style to improve how I learn
   
   
   
   
   


Please check how much you agree with the following statements:

22. My counselor is available to me when I need to see him/her.
   
   
   
   
   

23. I feel comfortable going to see my counselor to get help with school concerns.
   
   
   
   
   

24. I feel comfortable going to see my counselor to get help with personal concerns.
   
   
   
   
   

25. My classes keep me interested in the topic.
   
   
   
   
   

26. I like coming to school.
   
   
   
   
   

27. My teachers are willing to help me when I have questions.
   
   
   
   
   

28. The school is involved in developing my education plan.
   
   
   
   
   

29. I understand why I need a good education.
   
   
   
   
   

30. I will stay in school until I graduate.
   
   
   
   
   

31. I will continue my education after high school.