Copy of Guidance and Counseling Survey for Parents and Teachers (Brazier)

Instructions

Please answer the questions below. Rank the various counseling services by importance.

1-Least Important 2- Somewhat Important 3- Important 4- Very Important

The last question is for adding services you would like addressed through the school guidance and counseling program.

Question Title

* 1. Please check one.

Student ( 4th and 5th graders only)

Parent

Teacher

Question Title

* 2. Individual Counseling

1

2

3

4

Question Title

* 3. Small Group Counseling

1

2

3

4

Question Title

* 4. Classroom Guidance

1

2

3

4

Question Title

* 5. Community Agency Referrals

1

2

3

4

Question Title

* 6. Transition Services

1

2

3

4

Question Title

* 7. Testing (ACT/ASPIRE, DIBELS, EQT)

1

2

3

4

Question Title

* 8. Reporting Abuse/Neglect

1

2

3

4

Question Title

* 9. Teacher and Parent Consultation

1

2

3

4

Question Title

* 10. Please list other counseling services your feel are important at our school.

1

2

3

4