Middle School Needs Assessment (for parents)

-To determine student needs so that appropriate interventions can be put into place at North Boone Middle School

* 1. Please indicate the appropriate grade level(s) for your student(s):

* 2. Please indicate your ethnicity:

* 3. Various school counseling services are listed below. Please read through the list and rate the importance of each service.

  Not Important Somewhat Important Important Very Important
Peer Mediation
Parent Consultation (grades, behavior, social situations)
Career Planning
Crisis Intervention
Academic Skills Support
Transition Services (middle school to high school and new student)
Small Group Counseling
Community Agency Referrals
Individual Counseling
Parent Educational Workshops (course planning, bullying prevention, health/wellness issues, and PTO)
Classroom Guidance
Financial Resource Assistance
Testing (ISAT, MAPS, EXPLORE)
Reporting Abuse/Neglect

* 4. Please list other counseling services below that you feel are important to offer to students at our middle school which were not listed above.

* 5. Please look at the following list of concerns and check areas for what you believe YOUR STUDENTS' PEERS needs are.

* 6. Please look at the following list of concerns and check areas your student(s) need(s) help with.

* 7. Which of the following parent workshops would you be interested in attending?

* 8. When should the parent education workshops be offered? (Please specify both days and times that would work best for you.)

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