Getting Started...Assessing the needs of your Middle Schoolers....
STUDENT PERSONAL NEEDS SURVEY
Check the topics of most interest to you.
1. I need help in:
o Developing the best personality I can
o Understanding and liking myself better
o Developing self‑confidence
o Changing a particular behavior
o No help needed in the above areas
2. I need the most help with:
o Personal and social problems
o Understanding my abilities and aptitudes
o High school course selection
o Career planning
o No help needed in the above areas
3. I need help with:
o Making and keeping friends with persons my age
o Getting along with people who are different from me
o Learning to tell others how I feel
o Discussing personal problems and keeping confidences
o No help needed in the above areas
4. I need help in:
o Expressing my anger in acceptable ways
o Adjusting to my home situation
o Exercising self‑discipline
o Expressing my feelings in an acceptable manner
o No help needed in the above areas
5. I need help in:
o Communicating with others
o Improving relationships
o Adjusting to different teachers' expectations
o Improving relationships with my peers
o No help needed in the above areas
6. I need help in:
o Learning about counseling and guidance services at my school
o Becoming involved in school activities
o Becoming involved in community activities
o Adjusting to a new school situation
o No help needed in the above areas
7. I need help with:
o Improving my grades
o Taking notes
o Taking tests
o Learning about study skills
o No help needed in the above areas
8. I need assistance in:
o Making and keeping friends my age
o Meeting new people
o Learning to tell others how I feel
o Using self‑control
o Understanding myself
9. My relationships with most of my teachers are:
o Excellent
o Good
o Fair
o Poor
o Uncertain
10. My relationships with most of my friends are:
o Excellent
o Good
o Fair
o Poor
o Uncertain
11. My relationship with my parents/guardians is:
o Excellent
o Good
o Fair
o Poor
o Uncertain
