Guidance and Counseling Survey
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Grade:
Gender:
Clear selection
How many times during this school year has a counselor met with you in each of the following ways?
None
Less than five times
Five to ten times
More than ten times
Classroom presentations by a counselor
Small-group meetings with a counselor
One-on-one meetings with a counselor
Student/parent/counselor confrences
Student/teacher/counselor confrences
Meetings with a counselor and someone from outside the school
Clear selection
Has a counselor met with you to... If so, was it helpful?
No
Yes, Very helpful
Yes, Somewhat helpful
Yes, Not really helpful
Unsure
...help manage your feelings?
...provide guidance and counseling so you can make good decisions?
...guide you in taking responsibility for your educational planning?
...assist you in setting goals and making plans?
...help you in accepting the consequences of your decisions?
...help you manage changes?
...aid in understanding others' behaviors?
...help you take responsibility for your behavior?
...help you cope with peer relationships?
...set challenging educational goals?
...help establish personal goals?
...make available information on educational opportunities?
Clear selection
Has a counselor met with you to... If so, was it helpful?
No
Yes, Very helpful
Yes, Somewhat helpful
Yes, Not really helpful
Unsure
...help you select specific high school courses reflecting your educational goals?
...assist in making plans for achieving short-
...relate jobs to interests, skills, values, and education?
...assist in career and/or vocational planning?
...discuss the importance of time management?
...talk about peer pressure?
...address health-related problems?
...help with behavior problems?
...aid in explaining test results?
...help you to deal with feelings of grief and/or loss?
...provide help when you were experiencing academic difficulty?
...just listen?
...help you deal with stress?
...coordinate conferences between your parents and school staff?
...help you with a drug and/or alcohol problem?
...offer guidance and counseling on a personal, private issue?
Clear selection
What was the one service or topic of discussion that was most beneficial or helpful to you?
Overall, is the guidance and counseling program meeting your needs? YES, NO, UNSURE, and Why?
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