* 1. I know how the school counselor can help me with a student concern. 

* 2. My school counselor is willing to listen to concerns and offer suggestions. 

* 3. The school counselor is respectful. 

* 4. The school counselor is genuinely concerned and has the students best interest.  

* 5. Please choose the top 5 topics below that you would like additional information about from your counselor.

* 6. Please list any topic not mentioned in the survey that you feel should be addressed with the students

* 7. When would be the best time to have a parent workshop?

* 8. Please rank the following counseling topics in order of importance 1 being the most important 5 being the least important.

* 9. Have you ever visited the school counselor for help?

* 10. Please choose the grade level your student(s) are currently enrolled.

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