To better serve you, The Counseling Department would like to get to know you and assist you with your needs.  

Your responses are kept confidential and only seen by the Counseling Department.  

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* 1. First Name:

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* 2. Last name:

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* 3. What grade are you in?

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* 4. Please choose which house you are enrolled in.

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* 5. With all the changes related to COVD, overall how are you doing?

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* 6. How many days a week are you home alone during the day?

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* 7. The Counseling Department is wanting to get student views on what you would like the topics to be when the Counselors come into teach guidance lessons. Please select five of the topics you would be interested in. (Students need to check five- or fill in 5 of the responses).

Please read the following and mark any that apply to your or your life. Remember your responses are kept confidential.

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* 8. Since school started in August, have you had any of the following (Choose all that apply).

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* 9. Since school started in August, have you had any of the following (Choose all that apply).

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* 10. Since school started in August, have you felt any of the following (Choose all that apply).

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* 11. How many adults outside of school care about you?

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* 12. How many adults in this building care about you and your academic success?

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* 13. I would like more information on: (Choose all that apply).

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* 14. What is something positve you have learned or can take away from COVID?

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* 15. What is something that you worry about related to COVID?

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* 16. Is there anything else you would like your counselor to know about you?

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* 17. Would you like to meet with a School Counselor individually?

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