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Hokes Bluff High School Counseling
Student Survey
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1.
Grade?
(Required.)
9th
10th
11th
12th
*
2.
I need help with the following PERSONAL concerns: (Please select all that apply)
(Required.)
Making Friends
Fitting in at school
Making better decisions
Communication skills
Transitioning to a new school
Getting involved in school activities
Dating and relationship
Self esteem issues
Teasing and bullying
Getting along with others
Anger issues
Feelings of sadness and depression
Feelings of anxiousness and/or irritability
Feeling of grief due to a death
Dealing with divorce or separation
Dealing with stress
Drug and/or alcohol problem
Peer pressure
*
3.
I need help with the following SCHOOL concerns: ( Please choose all that apply)
(Required.)
Being more organized
Improving study skills
Understanding the best career options for me
Understanding my learning style to improve how I learn
Knowing what educational options are available to me when I graduate
Understanding graduation requirements
Selecting a career or concentration
Knowing about and applying for college, scholarships and financial aid
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4.
I know who my counselor is.
(Required.)
Yes
No
5.
I feel comfortable going to see my counselor to get help with SCHOOL concerns.
Yes
No
*
6.
I feel comfortable going to see my counselor to get help with PERSONAL Concerns.
(Required.)
Yes
No
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7.
My counselor has met individually with me least once to help me plan my schedule for next year.
(Required.)
Yes
No
Plans are in place to meet
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8.
The school is involved in helping me to develop an education plan.
(Required.)
Yes
No
I don't know
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9.
There is at least one staff member in the school that I believe cares deeply about me and my success.
(Required.)
Yes
No
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10.
I have a clear career plan to follow when I graduate.
(Required.)
Yes
No
Currently developing a plan
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11.
I am involved in at least one school activity outside of class.
(Required.)
Yes
No
*
12.
I understand why I need a good education.
(Required.)
Yes
No
*
13.
I will stay in school until I graduate high school.
(Required.)
Yes
No
I'm not sure
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14.
I will continue my education after high school.
(Required.)
Yes
No
15.
OTHER CONCERNS: Please list any other concerns or needs that were not mentioned that YOU PERSONALLY would like the school to help you with. If you desire, you may leave your name so that the counselor may contact you
16.
Please type your email address in the text box below