Needs Assessment

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Corvallis STEAM Middle School

The school counseling department wants to ensure we develop and provide programs that
meet your needs and determine/know how well you believe the school counselor is meeting
your needs. Your responses will remain anonymous so please be totally honest in your
responses. This survey will help us learn how many students need programs and activities on
certain topics. Thank you for helping us better meet your needs.

Answer each statement by ranking how true it is. I need help in the following areas:

Making peer connections


Strongly Agree Strongly Disagree
1 2 3 4 5

Getting involved in school activities


Strongly Agree Strongly Disagree
1 2 3 4 5

Dating or relationship issues


Strongly Agree Strongly Disagree
1 2 3 4 5

Teasing or bullying
Strongly Agree Strongly Disagree
1 2 3 4 5

Dealing with emotions


Strongly Agree Strongly Disagree
1 2 3 4 5

Feeling Stressed
Strongly Agree Strongly Disagree
1 2 3 4 5

Dealing with anxiety

Strongly Agree Strongly Disagree


1 2 3 4 5
Skills for resolving conflict
Strongly Agree Strongly Disagree
1 2 3 4 5

Being more organized


Strongly Agree Strongly Disagree
1 2 3 4 5

Managing my time better


Strongly Agree Strongly Disagree
1 2 3 4 5

Reducing test anxiety


Strongly Agree Strongly Disagree
1 2 3 4 5

Exploring colleges and careers


Strongly Agree Strongly Disagree
1 2 3 4 5

Concerns about alcohol and/or drug use


Strongly Agree Strongly Disagree
1 2 3 4 5

Understanding my learning style to improve how I learn


Strongly Agree Strongly Disagree
1 2 3 4 5

Improving study skills


Strongly Agree Strongly Disagree
1 2 3 4 5
Other concerns: Please list any other concerns or needs that were not mentioned that you
personally would like the counselors to help you with.

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