Needs Assessment- Reeds Brook Middle School
-To determine student needs so that appropriate interventions can be put into place at Reeds Brook Middle School.
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1. Please indicate the appropriate grade level(s) for your student(s):
Answer each statement and rate how true it is. My student needs help with the following PERSONAL concerns: *
Making Friends
Strongly Agree
Strongly Disagree
*
Fitting in at school
Strongly Agree
Strongly Disagree
*
Dealing with peer pressure
Strongly Agree
Strongly Disagree
*
Improving communication
Strongly Agree
Strongly Disagree
*
Getting involved in school activities
Strongly Agree
Strongly Disagree
*
Relationship issues
Strongly Agree
Strongly Disagree
*
Concerns about alcohol and/or drug abuse
Strongly Agree
Strongly Disagree
*
Helping myself (gaining more self-confidence, feeling better about myself, expressing my feelings and thoughts)
Strongly Agree
Strongly Disagree
*
Gaining more self-confidence, feeling better self, expressing feelings and thoughts
Strongly Agree
Strongly Disagree
*
Handling teasing or being bullied
Strongly Agree
Strongly Disagree
*
Getting along with other students better
Strongly Agree
Strongly Disagree
*
Getting along better with family members
Strongly Agree
Strongly Disagree
*
Feeling sad or depressed
Strongly Agree
Strongly Disagree
*
Feeling suicidal
Strongly Agree
Strongly Disagree
*
Self harm or cutting
Strongly Agree
Strongly Disagree
*
Grief over the loss of a loved one
Strongly Agree
Strongly Disagree
*
Parental divorce or separation
Strongly Agree
Strongly Disagree
*
Dealing with anger
Strongly Agree
Strongly Disagree
*
Feeling stressed
Strongly Agree
Strongly Disagree
*
Skills for resolving conflicts
Strongly Agree
Strongly Disagree
My child needs help with the following SCHOOL concerns:
Being more organized
Strongly Agree
Strongly Disagree
Clear selection
Managing my time better
Strongly Agree
Strongly Disagree
Clear selection
Improving study skills
Strongly Agree
Strongly Disagree
Clear selection
Reducing test anxiety
Strongly Agree
Strongly Disagree
Clear selection
Improving test taking skills
Strongly Agree
Strongly Disagree
Clear selection
Better understanding their test scores
Strongly Agree
Strongly Disagree
Clear selection
Understanding future career options
Strongly Agree
Strongly Disagree
Clear selection
Understanding post high school options
Strongly Agree
Strongly Disagree
Clear selection
Understanding their learning style
Strongly Agree
Strongly Disagree
Clear selection
OTHER CONCERNS: Please list any other concerns or needs that were not mentioned that you would like the school to help you with:
We are using this information to develop classroom instruction and intervention activities. If you agreed or strongly agreed to any of the topics listed and would like additional information or to meet with the school counselor, please comment below or contact me at 862-3540 or email at amoody@rsu22.us.
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