Student Needs Assessment (Middle School)

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Code: (leave blank if none provided)  
Student Instructions: The school counseling department wants to ensure we develop and provide programs that meet your needs and determine / know how well you believe the school counselor is meeting your needs. Please be totally honest in your responses. Only you will know the answers you provide as we include no student identifying information on this survey. This survey will help us learn how many students need programs and activities on certain topics. Thank you for helping us better meet your needs. PLEASE READ EACH STATEMENT AND MARK THE MOST APPROPRIATE ANSWER CHOICE FOR YOU.
Answer each statement and check how true it is.
I need help with the following PERSONAL concerns:		Strongly AgreeAgreeNeither Agree nor DisagreeDisagreeStrongly Disagree
1. Making friends
2. Fitting in at school
3. Dealing with peer pressure
4. Improving communication
5. Getting involved in school activities
6. Dating or relationship issues
7. Concerns about alcohol and/or drug use
8. Helping myself (gaining more self-confidence, feeling better about myself, expressing my feelings and thoughts)
9. Handling teasing or being bullied
10. Getting along with other students better
11. Getting along better with family members
12. Feeling sad or depressed
13. Feeling suicidal
14. Grief over the loss of a loved one
15. Parental divorce of separation
16. Dealing with anger
17. Feeling stressed
18. Skills for resolving conflicts
I need help with the following SCHOOL concerns:Strongly AgreeAgreeNeither Agree nor DisagreeDisagreeStrongly Disagree
19. Being more organized
20. Managing my time better
21. Improving study skills
22. Reducing test anxiety
23. Improving test-taking skills
24. Understanding what my test scores mean in relation to academic and career planning
25. Understanding the best career options for me
26. Planning my options after high school
27. Understanding my learning style to improve how I learn
28. Understanding graduation requirements
Please check how much you agree with the following statements:Strongly AgreeAgreeNeither Agree nor DisagreeDisagreeStrongly Disagree
29. My counselor is available to me when I need to see/him or her.
30. I feel comfortable going to see my counselor to get help with SCHOOL concerns.
31. I feel comfortable going to see my counselor to get help with PERSONAL Concerns.
32. My classes keep me interested in the topic.
33. I like coming to school.
34. My teachers are willing to help me when I have questions.
35. The school is involved in my developing my education plan.
36. My counselor has met individually with me least once to help me understand the relevance of the state assessment and what my scores mean to me.
Please check how much you agree with the following statements:Strongly AgreeAgreeNeither Agree nor DisagreeDisagreeStrongly Disagree
37. I understand why I take the state assessment.
38. I understand why I need a good education.
39. I will stay in school until I graduate high school.
40. I will continue my education after high school.
OTHER CONCERNS: Please list any other concerns or needs that were not mentioned that YOU PERSONALLY would like the school to help you with: