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INS - Parent/Guardian Needs Assessment
Parent/Guardian Needs Assessment
The Student Services Department wants to develop and provide programs that meet your student's needs. Please read and answer each question.
*
1.
Your Full Name
(Required.)
*
2.
Your Student's Full Name
(Required.)
3.
Your Student's ID Number (if available)
*
4.
Please rate these statements
(Required.)
Yes
No
Unsure
I know how to contact my student's School Counselor
Yes
No
Unsure
I am aware of the role of a School Counselor
Yes
No
Unsure
I feel comfortable contacting my student's School Counselor
Yes
No
Unsure
I am aware of the New Horizons Substance Use Counseling Program at INS
Yes
No
Unsure
My student has a positive relationship with INS staff
Yes
No
Unsure
I know how to check my student's grades & attendance online
Yes
No
Unsure
5.
Please let us know if your family would like help with
Child care
Food (if your family doesn't have enough to eat)
Housing
Medical appointments (doctor, dentist, therapist, counselor, eye doctor, etc.)
Personal hygiene (soap, deodorant, toothbrush, toothpaste, etc.)
Utility bills (water, electricity, gas, internet, etc.)
Other (please specify)
