2020-2021 Rainbow Middle Counselor Needs Assessment

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* 1. Please check one:

Student

Parent/Guardian

Teacher/Staff Member

Community Member

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* 2. Please indicate the appropriate grade level:

6th

7th

8th

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* 3. Various School Counseling services are listed below. Please read through the list and rate the importance of each service. (1 is least important, 4 is very important)

	1. Least Important	2. Somewhat Important	3. Important	4. Very Important
Individual Counseling	Individual Counseling 1. Least Important	Individual Counseling 2. Somewhat Important	Individual Counseling 3. Important	Individual Counseling 4. Very Important
Small Group Counseling	Small Group Counseling 1. Least Important	Small Group Counseling 2. Somewhat Important	Small Group Counseling 3. Important	Small Group Counseling 4. Very Important
Classroom Guidance	Classroom Guidance 1. Least Important	Classroom Guidance 2. Somewhat Important	Classroom Guidance 3. Important	Classroom Guidance 4. Very Important
Community Agency Referrals	Community Agency Referrals 1. Least Important	Community Agency Referrals 2. Somewhat Important	Community Agency Referrals 3. Important	Community Agency Referrals 4. Very Important
Transition Services (elementary to middle, middle to high school, new students)	Transition Services (elementary to middle, middle to high school, new students) 1. Least Important	Transition Services (elementary to middle, middle to high school, new students) 2. Somewhat Important	Transition Services (elementary to middle, middle to high school, new students) 3. Important	Transition Services (elementary to middle, middle to high school, new students) 4. Very Important
Parent Consultation (grades, behavior, social situations)	Parent Consultation (grades, behavior, social situations) 1. Least Important	Parent Consultation (grades, behavior, social situations) 2. Somewhat Important	Parent Consultation (grades, behavior, social situations) 3. Important	Parent Consultation (grades, behavior, social situations) 4. Very Important
Standardized Testing	Standardized Testing 1. Least Important	Standardized Testing 2. Somewhat Important	Standardized Testing 3. Important	Standardized Testing 4. Very Important
Reporting Abuse/Neglect	Reporting Abuse/Neglect 1. Least Important	Reporting Abuse/Neglect 2. Somewhat Important	Reporting Abuse/Neglect 3. Important	Reporting Abuse/Neglect 4. Very Important
Teacher Consultation (grades, behavior, social situations)	Teacher Consultation (grades, behavior, social situations) 1. Least Important	Teacher Consultation (grades, behavior, social situations) 2. Somewhat Important	Teacher Consultation (grades, behavior, social situations) 3. Important	Teacher Consultation (grades, behavior, social situations) 4. Very Important

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* 4. Please list below other counseling services you feel are important at Rainbow Middle.

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* 5. Please choose the top 5 topics below that you feel need to be addressed.

Bullying

Self Esteem and Self Awareness

Time Management and Organization Skills

Help with Scheduling, Choosing Classes

Help with Special Learning Needs

Peer Pressure

Substance Abuse

Anger Management

Problem Solving/Coping Skills

Depression/Suicide

Study Skills

Decision Making Skills

Goal Setting

Career Planning

Transition (elementary to middle, middle to high)

Dating/Relationship Issues

Family Changes (Divorce)

School/Classroom Behavior/Respect

Abuse/Neglect

Standardized Testing (STAR, Scantron Performance Series)

Grief or Loss

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* 6. Please check how much you agree with the following statements:

	Strongly Agree	Agree	Neither Agree nor Disagree	Disagree	Strongly Disagree
My counselor is available to me when I need to see her.	My counselor is available to me when I need to see her. Strongly Agree	My counselor is available to me when I need to see her. Agree	My counselor is available to me when I need to see her. Neither Agree nor Disagree	My counselor is available to me when I need to see her. Disagree	My counselor is available to me when I need to see her. Strongly Disagree
I feel comfortable going to see my counselor to get help with SCHOOL concerns.	I feel comfortable going to see my counselor to get help with SCHOOL concerns. Strongly Agree	I feel comfortable going to see my counselor to get help with SCHOOL concerns. Agree	I feel comfortable going to see my counselor to get help with SCHOOL concerns. Neither Agree nor Disagree	I feel comfortable going to see my counselor to get help with SCHOOL concerns. Disagree	I feel comfortable going to see my counselor to get help with SCHOOL concerns. Strongly Disagree
I feel comfortable going to see my counselor to get help with PERSONAL concerns.	I feel comfortable going to see my counselor to get help with PERSONAL concerns. Strongly Agree	I feel comfortable going to see my counselor to get help with PERSONAL concerns. Agree	I feel comfortable going to see my counselor to get help with PERSONAL concerns. Neither Agree nor Disagree	I feel comfortable going to see my counselor to get help with PERSONAL concerns. Disagree	I feel comfortable going to see my counselor to get help with PERSONAL concerns. Strongly Disagree
My classes keep me interested in the topic.	My classes keep me interested in the topic. Strongly Agree	My classes keep me interested in the topic. Agree	My classes keep me interested in the topic. Neither Agree nor Disagree	My classes keep me interested in the topic. Disagree	My classes keep me interested in the topic. Strongly Disagree
I like coming to school.	I like coming to school. Strongly Agree	I like coming to school. Agree	I like coming to school. Neither Agree nor Disagree	I like coming to school. Disagree	I like coming to school. Strongly Disagree
I feel safe at school.	I feel safe at school. Strongly Agree	I feel safe at school. Agree	I feel safe at school. Neither Agree nor Disagree	I feel safe at school. Disagree	I feel safe at school. Strongly Disagree
My teachers are willing to help me when I have questions.	My teachers are willing to help me when I have questions. Strongly Agree	My teachers are willing to help me when I have questions. Agree	My teachers are willing to help me when I have questions. Neither Agree nor Disagree	My teachers are willing to help me when I have questions. Disagree	My teachers are willing to help me when I have questions. Strongly Disagree
I have been bullied at school this year.	I have been bullied at school this year. Strongly Agree	I have been bullied at school this year. Agree	I have been bullied at school this year. Neither Agree nor Disagree	I have been bullied at school this year. Disagree	I have been bullied at school this year. Strongly Disagree
I understand that bullying is being mean to someone else on purpose, repeatedly.	I understand that bullying is being mean to someone else on purpose, repeatedly. Strongly Agree	I understand that bullying is being mean to someone else on purpose, repeatedly. Agree	I understand that bullying is being mean to someone else on purpose, repeatedly. Neither Agree nor Disagree	I understand that bullying is being mean to someone else on purpose, repeatedly. Disagree	I understand that bullying is being mean to someone else on purpose, repeatedly. Strongly Disagree
I have bullied another student this year.	I have bullied another student this year. Strongly Agree	I have bullied another student this year. Agree	I have bullied another student this year. Neither Agree nor Disagree	I have bullied another student this year. Disagree	I have bullied another student this year. Strongly Disagree

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* 1. Please check one:

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* 2. Please indicate the appropriate grade level:

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* 3. Various School Counseling services are listed below. Please read through the list and rate the importance of each service. (1 is least important, 4 is very important)

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* 4. Please list below other counseling services you feel are important at Rainbow Middle.

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* 5. Please choose the top 5 topics below that you feel need to be addressed.

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* 6. Please check how much you agree with the following statements:

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* 7. Comments