Exit this survey Middle School Guidance PARENT 2015 Question Title Middle School - Guidance Curriculum AssessmentPARENT SURVEY Question Title * 1. Student’s Name: Question Title * 2. Parent’s Name: ACADEMIC DEVELOPMENTPlease rate your student’s ability to accomplish the following ASCA Standards Indicators.________________________________________ Question Title * 3. Takes pride in work and in achievement Very Low Low Somewhat Low Average Somewhat High High Very High Very Low Low Somewhat Low Average Somewhat High High Very High Question Title * 4. Displays a positive interest in learning Very Low Low Somewhat Low Average Somewhat High High Very High Very Low Low Somewhat Low Average Somewhat High High Very High Question Title * 5. Applies time management and task management skills Very Low Low Somewhat Low Average Somewhat High High Very High Very Low Low Somewhat Low Average Somewhat High High Very High Question Title * 6. Applies the study skills necessary for academic success Very Low Low Somewhat Low Average Somewhat High High Very High Very Low Low Somewhat Low Average Somewhat High High Very High Question Title * 7. Demonstrates the ability to balance school, studies, extracurricular activities, leisure time, and family life Very Low Low Somewhat Low Average Somewhat High High Very High Very Low Low Somewhat Low Average Somewhat High High Very High Question Title * 8. Has a positive attitude toward work and learning Very Low Low Somewhat Low Average Somewhat High High Very High Very Low Low Somewhat Low Average Somewhat High High Very High Question Title * 9. Has an awareness of personal abilities, skills, interests, and motivations Very Low Low Somewhat Low Average Somewhat High High Very High Very Low Low Somewhat Low Average Somewhat High High Very High Question Title * 10. Understands the importance of planning Very Low Low Somewhat Low Average Somewhat High High Very High Very Low Low Somewhat Low Average Somewhat High High Very High Question Title * 11. Has hobbies and work interests Very Low Low Somewhat Low Average Somewhat High High Very High Very Low Low Somewhat Low Average Somewhat High High Very High Question Title * 12. Understands the relationship between educational achievement and career success Very Low Low Somewhat Low Average Somewhat High High Very High Very Low Low Somewhat Low Average Somewhat High High Very High Question Title * 13. Understands how work can help to achieve personal success and satisfaction Very Low Low Somewhat Low Average Somewhat High High Very High Very Low Low Somewhat Low Average Somewhat High High Very High Question Title * 14. Identifies values, attitudes, and beliefs Very Low Low Somewhat Low Average Somewhat High High Very High Very Low Low Somewhat Low Average Somewhat High High Very High Question Title * 15. Understands change as a part of growth Very Low Low Somewhat Low Average Somewhat High High Very High Very Low Low Somewhat Low Average Somewhat High High Very High Question Title * 16. Uses effective communication skills Very Low Low Somewhat Low Average Somewhat High High Very High Very Low Low Somewhat Low Average Somewhat High High Very High Question Title * 17. Has effective coping skills for dealing with problems Very Low Low Somewhat Low Average Somewhat High High Very High Very Low Low Somewhat Low Average Somewhat High High Very High Question Title * 18. Differentiates between situations requiring peer support and situations requiring adult professional help Very Low Low Somewhat Low Average Somewhat High High Very High Very Low Low Somewhat Low Average Somewhat High High Very High Question Title * 19. Applies effective problem-solving and decision making sills to make safe and healthy choices Very Low Low Somewhat Low Average Somewhat High High Very High Very Low Low Somewhat Low Average Somewhat High High Very High Question Title * 20. Understands the physical dangers of substance use and abuse Very Low Low Somewhat Low Average Somewhat High High Very High Very Low Low Somewhat Low Average Somewhat High High Very High Question Title * 21. Knows how to cope with peer pressure Very Low Low Somewhat Low Average Somewhat High High Very High Very Low Low Somewhat Low Average Somewhat High High Very High Question Title * 22. Takes responsibility for actions at home Very Low Low Somewhat Low Average Somewhat High High Very High Very Low Low Somewhat Low Average Somewhat High High Very High Question Title * 23. Assists with household duties (chores) Very Low Low Somewhat Low Average Somewhat High High Very High Very Low Low Somewhat Low Average Somewhat High High Very High Question Title * 24. Participates in the care of someone else or thing (pet, sibling, plant, etc.) Very Low Low Somewhat Low Average Somewhat High High Very High Very Low Low Somewhat Low Average Somewhat High High Very High Question Title * 25. Goes to bed on time Very Low Low Somewhat Low Average Somewhat High High Very High Very Low Low Somewhat Low Average Somewhat High High Very High Question Title * 26. Keeps personal area tidy (e.g. bedroom) Very Low Low Somewhat Low Average Somewhat High High Very High Very Low Low Somewhat Low Average Somewhat High High Very High Done