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

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

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* 3. The school counselor is respectful. 

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

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

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

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

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

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

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

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