Exit Northern Pines Mental Health Center CTSS Student 7-12th Grade Survey Question Title * 1. School: AITKIN BRAINERD HIGH SCHOOL BRAINERD LEARNING CENTER BRAINERD LINCOLN EDUCATION CENTER CROSBY IRONTON FORESTVIEW LITTLE FALLS-RANDALL LONG PRAIRIE GREY EAGLE MCGREGOR MID-STATE PEQUOT PIERZ PILLAGER PINE RIVER-BACKUS ROYALTON STAPLES-MOTLEY STAPLES ALC SEBEKA SWANVILLE UPSALA VERNDALE WADENA-DEER CREEK List Other: Question Title * 2. Age: Question Title * 3. I believe the services I have received have helped me to.... Strongly Agree (1) Agree (2) No Opinion (3) Disagree (4) Strongly Disagree (5) Improve my attendance Improve my attendance Strongly Agree (1) Improve my attendance Agree (2) Improve my attendance No Opinion (3) Improve my attendance Disagree (4) Improve my attendance Strongly Disagree (5) Do better in school Do better in school Strongly Agree (1) Do better in school Agree (2) Do better in school No Opinion (3) Do better in school Disagree (4) Do better in school Strongly Disagree (5) Cope better when things go wrong Cope better when things go wrong Strongly Agree (1) Cope better when things go wrong Agree (2) Cope better when things go wrong No Opinion (3) Cope better when things go wrong Disagree (4) Cope better when things go wrong Strongly Disagree (5) Comments: Question Title * 4. The skills I learn have allowed me to... Strongly Agree (1) Agree (2) No Opinion (3) Disagree (4) Strongly Disagree (5) Be more successful in classes Be more successful in classes Strongly Agree (1) Be more successful in classes Agree (2) Be more successful in classes No Opinion (3) Be more successful in classes Disagree (4) Be more successful in classes Strongly Disagree (5) Improve my communication Improve my communication Strongly Agree (1) Improve my communication Agree (2) Improve my communication No Opinion (3) Improve my communication Disagree (4) Improve my communication Strongly Disagree (5) Better control my behaviors in school Better control my behaviors in school Strongly Agree (1) Better control my behaviors in school Agree (2) Better control my behaviors in school No Opinion (3) Better control my behaviors in school Disagree (4) Better control my behaviors in school Strongly Disagree (5) Get along better with others in school Get along better with others in school Strongly Agree (1) Get along better with others in school Agree (2) Get along better with others in school No Opinion (3) Get along better with others in school Disagree (4) Get along better with others in school Strongly Disagree (5) Comments: Question Title * 5. From my sessions with my therapist I have gained knowledge of how to improve my physical and emotional well-being. Strongly Agree (1) Agree (2) No Opinion (3) Disagree (4) Strongly Disagree (5) Please list an example: Question Title * 6. I have attempted to improve my physical and emotional well-being. Strongly Agree (1) Agree (2) No Opinion (3) Disagree (4) Strongly Disagree (5) Please list an example: Question Title * 7. What could be done to improve this program to help you be more successful at home and school? Done