2019-2020 Kate Bond Middle Parent Needs Assessment

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

2019-2020 Parent Needs Assessment

What grade level is your student? *

Select all that apply.

6th

7th

8th

Required

Please choose the top 5 topics below that you feel need to be addressed by your student's school counselor. *

Bullying

Self Esteem and Self Awareness

Time Management and Organization Skills

Help With Scheduling, Choosing Classes

Help With Special Learning Needs

Peer Pressure

Substance Abuse

Anger Management

Problem Solving/Coping Skills

Depression/Suicide

Study Skills

Decision Making Skills

Goal Setting

Career Planning

Transition (elementary to middle, middle to high school)

Dating/Relationship Issues

Family Changes (Divorce)

School/Classroom Behavior/Respect

Abuse/Neglect

Standardized Testing (Progress Monitoring, TCAP, Discovery, etc.)

Other:

Required

Rate the importance of these various counseling related services. *

Each topic is ranked from 1-4. 1 (least important) to 4 (Very Important). Select the number (1-4) next to the service that best fit your beliefs.

Individual Counseling (1)Least Important

Individual Counseling (2)Somewhat Important

Individual Counseling (3)Important

Individual Counseling (4)Very Important

Small Group Counseling (1)Least Important

Small Group Counseling (2)Somewhat Important

Small Group Counseling (3)Important

Small Group Counseling (4)Very Important

Classroom Guidance (1)Least Important

Classroom Guidance (2)Somewhat Important

Classroom Guidance (3)Important

Classroom Guidance (4)Very Important

Community Agency Referrals (1)Least Important

Community Agency Referrals (2)Somewhat Important

Community Agency Referrals (3)Important

Community Agency Referrals (4)Very Important

Special Education Services (1)Least Important

Special Education Services (2)Somewhat Important

Special Education Services (3)Important

Special Education Services (4)Very Important

Testing (Progress Monitoring, TN Ready, MAPS, Easy CBM, etc.) (1)Least Important

Testing (Progress Monitoring, TN Ready, MAPS, Easy CBM, etc.) (2)Somewhat Important

Testing (Progress Monitoring, TN Ready, MAPS, Easy CBM, etc.) (3)Important

Testing (Progress Monitoring, TN Ready, MAPS, Easy CBM, etc.) (4)Very Important

Reporting DCS Referrals (Abuse, Neglect, etc.) (1)Least Important

Reporting DCS Referrals (Abuse, Neglect, etc.) (2)Somewhat Important

Reporting DCS Referrals (Abuse, Neglect, etc.) (3)Important

Reporting DCS Referrals (Abuse, Neglect, etc.) (4)Very Important

Teacher Consultation (grades, behavior, social situations) (1)Least Important

Teacher Consultation (grades, behavior, social situations) (2)Somewhat Important

Teacher Consultation (grades, behavior, social situations) (3)Important

Teacher Consultation (grades, behavior, social situations) (4)Very Important

Parent Consultation (grades, behavior, social situations) (1)Least Important

Parent Consultation (grades, behavior, social situations) (2)Somewhat Important

Parent Consultation (grades, behavior, social situations) (3)Important

Parent Consultation (grades, behavior, social situations) (4)Very Important

Transition Services (Elementary to Middle, Middle to High School, New Students) (1)Least Important

Transition Services (Elementary to Middle, Middle to High School, New Students) (2)Somewhat Important

Transition Services (Elementary to Middle, Middle to High School, New Students) (3)Important

Transition Services (Elementary to Middle, Middle to High School, New Students) (4)Very Important

SRT (Student Review Team/S-Team) Meetings (1)Least Important

SRT (Student Review Team/S-Team) Meetings (2)Somewhat Important

SRT (Student Review Team/S-Team) Meetings (3)Important

SRT (Student Review Team/S-Team) Meetings (4)Very Important

504 Meetings/Services (1)Least Important

504 Meetings/Services (2)Somewhat Important

504 Meetings/Services (3)Important

504 Meetings/Services (4)Very Important

Required

Please list additional counseling related services or training you believe are important to Kate Bond Middle School Parents. *

If none, please type "none".

Additional Comments *

If none, please type "none".

If you would like for the school counselor to contact you please contact the main office at 901-416-0640 to schedule an appointment. *

Please select one of the options below to move forward with the survey.

I will call the main office to schedule an appointment with my student's school counselor if necessary.

I will utilize the school's website at www.scsk12.org to email my student's school counselor if necessary.

Required

My student has repeated a grade level. *

Yes

If you selected "yes" to the above question please type in your student's name and grade level below. *

If you answered "No" to the above question type NA in the space provided below in order to submit your survey.

Submit

Clear form

Never submit passwords through Google Forms.

This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy

Forms