Republic of the Philippines

Department of Education
Region X
Division of Misamis Oriental
District of Medina
PORTULIN NATIONAL HIGH SCHOOL
Portulin, Medina, Misamis Oriental
GUIDANCE OFFICE

STUDENTS’ NEEDS ASSESSMENT INVENTORY

S.Y. 2019-2020

Name (Optional): _________________________________________ Year & Section: __________

Age: ________ Gender: __________ Date: ______________

Directions:
This form aims to obtain information about the various needs of Portulin National High School students particularly in
each grade level. The responses will help the Guidance Office in improving the program/activities/services offered to the
students. Kindly check the areas/concerns that best indicates your need/s in school.
1 – Not Important at All 2 – Somewhat Important 3 – Moderately Important
4 – Very Important 5 – Extremely Important

A. SELF-DEVELOPMENT/PERSONAL 1 2 3 4 5
1. Know, understand and accept myself better
2. Recognize one’s values and live what is morally upright
3. Improve physical appearance
4. Develop self-confidence
5. Discover my talents and develop them
6. Manage and control my emotions
7. Improves my strengths and weaknesses
8. Others: please specify

B. FAMILY
1. Improve my relationship with my parents and siblings
2. Develop the ability to discuss problems with parents/siblings
3. Cope with the expectations of my parents
4. Desire for love and affection from my parents
5. Freedom at home and in my personal decisions
6. Live with a stepparent/step siblings/guardian/relatives/neighbor (pls. underline)
7. To be financially supported
8. Others: please specify

C. SOCIAL
1. Get along well with my classmates and schoolmates
2. Handle peer pressure
3. Develop skills for starting/maintaining healthy friendship
4. Handle boy-girl relationship
5. Know how to choose/make friends
6. Accept personal differences
7. Feel the sense of belongingness
8. Others: please specify

D. STUDIES
1. Find time to finish assignments and socialize
2. Develop good study habits
3. Talk to teacher about difficulty in understanding lessons
4. Increase participation in classroom and school activities
5. Develop interest in my subjects
6. Work actively with classmates
7. Balance between work at home and studies
8. Others: please specify

E. COURSE/OCCUPATIONAL/CAREER CONCERNS
1. Discover for what work/occupation my talents and abilities could be useful
2. Help me discover what other skills I need to develop for my chosen course/occupation
3. Assist me in choosing the right track for Grade 11 and 12
4. Help select the college/university that is most suitable for the course I would like to
pursue
5. Help me understand my NCAE results
6. Help me overcome fears/doubts about my chosen course/occupational
7. Freedom in choosing my occupational interest
8. Others: please specify

Please list any other concerns or needs that were not mentioned that you personally would like your Guidance
Counselor Designate to help you with:
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________

//mcdb