Guidance Form 7

Republic of the Philippines

BOHOL ISLAND STATE UNIVERSITY-BALILIHAN CAMPUS
Magsija, Balilihan, Bohol

Vision: A premier S & T university for the formation of world class and virtuous human resource for the sustainable development in Bohol and the country.
Mission: Committed to provide quality and innovative education in strategic sectors for the development of Bohol and the country.

NEEDS ASSESSMENT INVENTORY

Year & Course: __________________________________

The following are some of the needs experiences by the people of your age. Please help us identify which needs you
experience and whether you believe the Guidance Program should help you with these needs.

PART I–AREAS OF CONCERN

A. In column A, use the following code to indicate the extent to which it is important to you that the Guidance
Center does something to respond to the specific need. Please write the appropriate letter under Column A.
NIA Not Important at All
SI Somewhat Important
MI Moderately Important
VI Very Important
EI Extremely Important
B. In column B, please indicate with a check mark whether the Guidance Center is already attending to these needs.
C. In Column C, use the following code to indicate your satisfaction with the way that your Guidance Center is
responding to each of these needs. Please write the appropriate numbers under Column C.
1- Not Satisfied
2- Minimally Satisfied
3- Somewhat Satisfied
4- Moderately Satisfied
5- Very Much Satisfied

SELF- DEVELOPMENT A B C
1. Know and understand myself better
2.Get rid of my fears
3. Manage my time
4. Plan my life
5. Develop self-confidence
6. Discover my talents and develop them
7. Improve my appearance
8. Learn more about the world outside
9. Get rid of personal vices/uncontrollable habits (drugs, alcohol, stealing, violence,
smoking, sex, gambling, computer addiction)
10. Other (Pls. Specify)
FAMILY RELATIONSHIPS A B C
1.Improve my relationship with my siblings
2. Manage siblings in a parentless home
3. Develop the ability to discuss problems with parents
4. Balance between warring/separated parents
5. Teach parents how to handle their children effectively
6. Help parents manage stress/marital problems (Pls. Underline)
7. Live with relatives
8. Cope with the expectations/demands of parents
9. Relate with a stepparent/step siblings (Pls. Underline)
10. Other (Pls. Specify)
SOCIAL RELATIONSHIPS A B C
1. Develop skills for starting /maintaining friendships
2. Make myself attractive to others
3. Develop the ability to avoid being taken advantage of
4. Know how to choose friends
5. Get rid of fear of social situations
6. Settle quarrels with/among friends
Guidance Form 7

SOCIAL RELATIONSHIPS A B C
7. Handle boy-girl relationship
8. Handle peer pressure
9. Deal effectively with bullies
10.Other (Pls. Specify)
STUDIES A B C
1. Understand my lessons
2. Find time to finish assignments and socialize
3. Develop confidence in recitations and discussions
4. Talk to teacher about difficulty in understanding lessons
5. Balance between work at home and studies
6. Work with classmates on projects
7. Cope with financial demands of subjects
8. Develop professionalism among teachers
9. Improve teaching effectiveness of teachers
10. Other (Pls. Specify)
SPECIFIC SOCIAL ISSUES A B C
1. Learn more about physical abuse
2. Learn more about sexual abuse/harassment
3. Learn more about emotional and verbal abuse
4. Handle experiences of abuse (physical, sexual, emotional ,verbal)
5. Handle alcoholic/or drug-dependent family member
6. Handle effects of disaster/crisis/calamities
7. Cope with losses (separation, abandonment, death, overseas work)
8. Deal with parents’ extramarital affairs
9. Handle adjustment caused by financial crises
10. Others (Pls. Specify)

Please feel free to write down any additional needs or concerns that you wish the Guidance Program would
address.
____________________________________________________________________________________________________________________________________
____________________________________________________________________________________________________________________________________
____________________________________________________________________________________________________________________________________

PART II-GUIDANCE SERVICES

Below are some of the services that the Guidance Center can offer or is already offering.
A. In Column A, please indicate with a check mark whether the Guidance Office is already offering these services.
B. In Column B, use the following to indicate your satisfaction with the way that your Guidance Office is offering
these services. Please write the appropriate numbers under Column B.
1- Not Satisfied
2- Minimally Satisfied
3- Somewhat Satisfied
4- Moderately Satisfied
5- Very Much Satisfied
C. In Column C, use the following code to indicate the extent to which it is important to you that the Guidance Office
offers the specific services. Please write the appropriate letters under column C.
NIA Not Important at All
SI Somewhat Important
MI Moderately Important
VI Very Important
EI Extremely Important

SERVICES A B C
1. Collect and interpret information (test and non-test) about me to help my understand
myself
2. Provide reading materials/films that will give information on how I can become a better
person
3. Provide seminars and workshops that will enlighten me on my concerns –personal-
interpersonal, vocational-occupational, academic-educational)
4. Arrange meetings with small groups to discuss similar concerns
5. Regularly meet my class/section/department to run relevant activities
Guidance Form 7

SERVICES A B C
6. Call me every now and then to check on how I am
7. All in groups of people to settle interpersonal difficulties
8. Allow me to come in at anytime to discuss anything I feel like discussing
9. Provide training sessions for parents/guardian/spouses to help them function better.
10. Call in my parent/spouse to explain my concerns and problems
11. Help me find the right people I can go to for my concerns
12. Help me get into a place or activity that is suited for me
13. Conduct research to help me understand how I am in relation to people of my own age
and sex
14. Others (Pls. Specify)

I wish the Guidance Center would offer the following seminars/workshops/services…

____________________________________________________________________________________________________________________________________
____________________________________________________________________________________________________________________________________
____________________________________________________________________________________________________________________________________

I wish the Guidance Program would…

STOP
____________________________________________________________________________________________________________________________________
____________________________________________________________________________________________________________________________________
____________________________________________________________________________________________________________________________________

CONTINUE
____________________________________________________________________________________________________________________________________
____________________________________________________________________________________________________________________________________
____________________________________________________________________________________________________________________________________

START
____________________________________________________________________________________________________________________________________
____________________________________________________________________________________________________________________________________
____________________________________________________________________________________________________________________________________