The purpose of this needs assessment is to gather your feedback about our school counseling program. Your feedback will help me evaluate our school counseling program and look for ways to improve our services. Please submit your feedback. Thank you for your time!
Email address *
Student Name *
Homeroom Teacher *
Grade Level *
Gender *
I may need help with the following academic/career concerns: (check your top 3) *
I may need help with the following personal/social concerns throughout this year: (check your top 3) *
Please mark how much you agree or disagree with the following statements:
I feel comfortable going to see the school counselor: *
I feel welcome when I enter the school counselor's office. *
I feel like my school counselor is available to help me with my needs or concerns. *
I know the times I can meet with my school counselor. *
