Republic of the Philippines

CAMARINES SUR POLYTECHNIC COLLEGES

Nabua, Camarines Sur

CSPC STUDENT NEEDS ASSESSMENT SURVEY

Ramos, Gabriel H
Name: _______________________________________ BSCE 1B
Course & Year: ___________

Direction: Herewith is a list of college students’ concerns or issues that need to be

addressed. Please put a check mark () on the space provided as to your
immediate need.

Result of this survey will be utilized for the proposal of seminars or activities for
you. Rest assured that the information gathered will be taken with utmost
confidentiality.

 Depression, lack of energy or motivation, hopelessness, being overwhelmed, low-

____1.
self-esteem. Homesickness, loneliness.
____2. Relationship difficulties (emotional and physical aspects of intimate relationship)
____3. Dealing with conflict or difficult people.
____4. Eating problems or body image issues.
____5. Grief from the loss of a loved one or relationship breakup.
 Stress and time management.
____6.
 Lack of confidence, assertiveness, self-esteem.
____7.
____8. Sexuality or gender identity question/issues.
____9. Past or recent trauma, abuse (physical, sexual, emotional), sexual assault, or
stalking.
____10. Career development and decision-making.
____11. Academic and educational planning.

____12. Adjustment to college.
____13. Study and test taking skills.
____14. Anxiety, test anxiety, or panic attacks.
____15. Improving relationships.
____16. Child and Family issues.
____17. Domestic Violence.
____18. Conflict resolution.
____19. Alcohol and substance use.
____20. Communication Issues.

Other Topics that I want to suggest:

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