* 1. What is your ethnicity? (Please select all that apply.)

* 2. What is your student's grade?

* 3. Describe your interaction with the counselors.

* 4. How involved are you in preparing your student for decisions after high school?

* 5. Please indicate the education level you anticipate your student is currently planning for.

* 6. Please indicate your involvement in the following. Mark all that apply.

* 7. Please indicate how helpful the time spent at the PCCR has been in preparing your student to make college or career decisions.

* 8. How comfortable are you with you student's 4 year plan.

* 9. Please indicate what you liked about our PCCR or how we could improve.

* 10. Please indicate if you would like your child to participate in a discussion group (anger management, grief and loss, friendship skills, pornography, other).

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