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  5. Greenfield (Guidance Services) 2014
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Exit Survey
 
 
This assessment need survey is designed to obtain your input concerning the school counseling program so that we may better meet the needs of our students. Feel free to add comments and ideas that you think would enhance the counseling program.  School Counseling Department
 
 
 
Name/Grade (optional)
   
 
 
 
How do you prefer to work with the counselor?
 
Schedule weekly/ biweekly meetings
 
I will contact the counselor when needed
 
 
 
What is your delivery preference?
 
Classroom guidance
 
Small Group Counseling
 
Individual
 
 
 
Which of the following Social/emotional/personal issues you feel are needed in your class?
 
Behavior control
 
Interpersonal relationships
 
Bullying
 
Problem-solving/conflict resolution
 
Coping with emotions /Anger management
 
Communication skills
 
Decision making skills
 
Peer Pressure
 
Family Transitions (Divorced/Blended Families)
 
Self-Esteem
 
Anxiety/Worry
 
Other
 
 
 
 
Which of the following Academic topics you feel are needed in your class?
 
Transition
 
Classroom/learning skills
 
Study Skills
 
Time Management
 
Organization Skills
 
Test-Taking Preparation
 
Learning Styles
 
Visiting middle schools
 
Other
 
 
 
 
Please indicate any concerns or suggest additional topics of interest
   
 
THANK YOU FOR YOUR HELP AND PARTICIPATION. School Counselor M. Corban