1/13/2020 Ball JHS Student Needs Assessment

Ball JHS Student Needs Assessment

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1. 1. What grade are you in? *

Mark only one oval.

7th
8th

2. 2. I know what mental health is. *

Mark only one oval.

True
False

3. 3. I believe my mental health is just as important as my physical health. *

Mark only one oval.

Yes
No
Not sure

4. 4. I believe bullying on campus is a big problem. *

Mark only one oval.

Yes
No
Kind of

5. 5. I often have conflict (problems/drama) with *

Mark only one oval per row.

Strongly Neutral/Does Not Strongly

Disagree Agree
disagree Apply agree
My friends
My family
My teachers
My
boyfriend/girlfriend

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1/13/2020 Ball JHS Student Needs Assessment
6. 6. What are some things that stress you out? (Check all that apply.) *
Check all that apply.

Friends
Family
Homework
My classes
My teachers
Extracurricular activities (like sports, clubs, church, etc.)

Other:

7. 7. When I am angry, I... (Check all that apply) *

Check all that apply.

Stop talking to others

Talk with a trusted friend
Listen to music
Get physically aggressive (punch a wall, throw your phone)
Get verbally aggressive (yell at someone, scream)
Talk with a trusted adult

Other:

8. 8. When I am feeling sad, I... (Check all that apply) *

Check all that apply.

Like to be alone
Like to spend time with people who care about me
Like to listen to music
Cry
Feel unmotivated and don't do my school work
Like to go on a walk/spend time outside
Have an adult to talk to (parent, relative, teacher, etc.)

Other:

9. 9. I feel pressure from my friends to do things I don't want to do. *

Mark only one oval.

Yes
No
Sometimes

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1/13/2020 Ball JHS Student Needs Assessment
10. 10. I know healthy things to do so I can feel better when I am stressed. *
Mark only one oval.

Yes
No
Kind of

11. 11. I would like to know more about... (Check all that apply) *
Check all that apply.

How to manage my stress

How to control my anger
How to be safe online
How to resolve conflicts with my friends
How to build healthy relationships with others
How to stop bullying on campus
How to deal with grief/loss in my life
How to deal with anxiety

Send me a copy of my responses.

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