COUNSELING NEEDS OF GRADE 8 STUDENTS OF LEPANTO NATIONAL HIGH SCHOOL

NAME(optional):__________________________________ AGE:_____ SEX:______

(Please check your preferred or final answer in the provided columns.)
PHYSICAL:
Questions: Yes No Sometimes
1. Are you confident with your physical appearance or
yourself?
2. Do you overdress because you want to fit in the
modern trends?
3. Are you verbally abused because of your physical
imperfections like scars, moles, pimples, and more?
4. Are you bullied because of your physical
appearance?
Others:________________________________________________________________
______________________________________________________________________
MENTAL:
Questions: Yes No Sometimes
1. Are you experiencing distress (bad stress) due to
school activities or requirements?
2. Are you experiencing distress (bad stress) due to too
much household responsibilities or family problems?
3. Are you having “brain problems” or difficulties in
understanding or comprehending your everyday lessons
though it is thoroughly explained by the teachers?
4. Are your capabilities or skills questioned by others that
it is not good enough?
Others:________________________________________________________________
______________________________________________________________________
EMOTIONAL
Questions: Yes No Sometimes
1. Do you feel degraded because of verbal abuse?
2. Are you sensitive to simple teasing words that
somebody tells you?
3. Do you force to change your attitude or personality
just to be accepted?
4. Are you afraid to be rejected because in your
perspective, it hurts a lot?
Others:________________________________________________________________
______________________________________________________________________
 COUNSELING NEEDS OF GRADE 8 STUDENTS OF LEPANTO NATIONAL HIGH SCHOOL

SOCIAL:
Questions: Yes No Sometimes
1. Are you afraid to socialize with new people or
strangers?
2. Do you feel uncomfortable with a group session
discussion or simply just the crowd?
3. Are you often alone and do your thing rather than
joining others?
4. Do you often experience stage frights?
Others:________________________________________________________________
______________________________________________________________________
Questions: Yes No Sometimes
1. Do you go to church wholeheartedly? 20 0 0
2. Do you find that going to church will not help you with 0 17 3
the problems you are facing right now?
3. Do you blame the Lord because of your failures or 0 20
shortcomings?
4. Do you feel blessed once you listened to the pastor 20 0 0
or your church leader’s doctrines on the words of God?
Others:________________________________________________________________
______________________________________________________________________