Guidance Needs Assessment Survey

Question Title

* 1. Please check one:

Student

Parent/Guardian

Staff Member

Community Member

Question Title

* 2. Please indicate the appropriate grade level:

7th

8th

Question Title

* 3. Various school counseling services are listed below. Please rate the importance of each service. (1 is least important, 4 is very important)

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

Question Title

* 4. Please rank the following topics. (with 1 being most important, and so on)

Self Esteem/Self Awareness

Bullying

Peer Pressure

Substance Abuse

Anger Management

Problem Solving/Coping Skills

Depression/Suicide

Study Skills

Career Planning

Family Changes

Behavior/Respect

Abuse/Neglect

Question Title

* 1. Please check one:

Question Title

* 2. Please indicate the appropriate grade level:

Question Title

* 3. Various school counseling services are listed below. Please rate the importance of each service. (1 is least important, 4 is very important)

Question Title

* 4. Please rank the following topics. (with 1 being most important, and so on)

Question Title

* 5. Comments: