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Student Needs Assessment (High School)

Student Instructions: This survey will help us learn how we can center group
activities to better meet the needs of students. Please read each statement and mark
the most appropriate answer. Thank you for helping us better meet your needs.
Answer each statement and check
how true it is.
I need help with the following
PERSONAL concerns:
1. Making friends
2. Fitting in at school
3. Dealing with peer pressure
4. Making better decisions
5. Improving communication
6. Transitioning to a new school
7. Pregnancy Teen/Parenting
8. Getting involved in school activities
9. Dating or relationship issues
10. Concerns about alcohol and/or drug
use
11. Helping myself (gaining more selfconfidence, feeling better about myself,
expressing my feelings and thoughts)
12. Being more assertive
13. Handling teasing or being bullied
14. Getting along with other students
better

Neither
Strongly
Agree
Strongly
Agree
Disagree
Agree
nor
Disagree
Disagree

15. Getting along better with family


members
16. Feeling sad or depressed
17. Feeling suicidal
18. Grief over the loss of a loved one
19. Parental divorce of separation
20. Dealing with anger
21. Feeling stressed
22. Feeling anxious or irritable
23. Concerns about alcohol and/or drug
use
24. Skills for resolving conflicts
I need help with the following
SCHOOL concerns:
25. Being more organized
26. Managing my time better
27. Improving study skills
28. Reducing test anxiety
29. Improving test-taking skills
30. Understanding what my test scores
mean in relation to academic and career
planning
31. Developing my course schedule
32. Understanding the best career
options for me
33. Planning my options after high

Neither
Strongly
Agree
Strongly
Agree
Disagree
Agree
nor
Disagree
Disagree

school
34. The college application process
35. Understanding my learning style to
improve how I learn
36. Knowing about and applying for
scholarships and financial aid
37. Knowing what educational options
are available to me when I graduate
38. Getting along with teachers
39. Transitioning to a new school
40. Understanding graduation
requirements
41. Selecting a career concentration
Please Check how much you agree
with the following statements:
42. I have a clear career plan to follow
when I graduate.
43. I have taken some kind of career
interest assessment while in high school.
44. I am involved in at least one school
activity outside of class.
45. I understand why I need a good
education.
46. I plan to stay in school until I
graduate high school.
47. I plan to continue my education after
high school.

Neither
Strongly
Agree
Strongly
Agree
Disagree
Agree
nor
Disagree
Disagree

Other Concerns: What are some other topics of concern, things you would like to
talk about, or activities you would like to do during group time?

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