___________________High School Student Needs Assessment
Student Instructions: The ____________________High School counseling department wants to ensure that the
school develops and provides programs that meet student needs. Please answer the questions on this survey as
honestly as possible. Only you will know the answers you have provided since no student identifying information is
collected for this survey. Please select the level to which you agree or disagree with each statement on the survey.
Thank you for helping the school to better meet your needs.
1. Please answer the following questions about you. What is your grade level?
_____ 9th Grade
_____ 10th Grade
_____11th Grade
_____12th Grade
2. What is your gender?
_____ Female
_____ Male
3. What is your race/ethnicity?
_____ Asian/Pacific Islander
_____ Black/African American
_____ Hispanic
_____ Mixed Race
_____ Native American
_____ White/Caucasian
Answer each statement and check how true it is.
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
14.
15.
16.
17.
18.
19.
20.
21.
22.
23.
24.
I need help making friends.
I need help fitting in at school.
I need help dealing with peer pressure.
I need help improving communication skills.
I need help dealing with pregnancy or teen parenting.
I need help getting involved in school activities.
I need help dealing with dating and relationship issues.
I need help dealing with drug or alcohol abuse.
I need help developing self confidence.
I need help dealing with being teased or bullied.
I need help getting along with other students.
I need help getting along better with family members.
I need help dealing with sadness or depression.
I need help dealing with suicidal thoughts.
I need help dealing with the loss of a loved one.
I need help dealing with parental divorce or separation.
I need help dealing with anger.
I need help dealing with stress.
I need help developing skills for resolving conflicts.
I need help being more organized.
I need help managing my time better.
I need help improving study skills.
I need help reducing test anxiety.
I need help improving test taking skills.
Strongly
Agree
Agree
Neither
Agree or
Disagree
Disagree
Strongly
Disagree
___________________High School Student Needs Assessment
Answer each statement and check how true it is.
Strongly
Agree
Agree
Neither
Agree or
Disagree
Disagree
25. I need help understanding what my test scores mean in
relation to school and career planning.
26. I need help developing my course schedule.
27. I need help understanding the best career options for
me.
28. I need help planning my options for after high school.
29. I need help understanding the college application
process.
30. I need help understanding my learning style to improve
how I learn.
31. I need help knowing about and applying for
scholarships and financial aid for education after high
school.
32. I need help understanding high school graduation
requirements.
33. I need help selecting a career cluster or concentration.
34. My school counselor is available to me when I need to
see him/her.
35. I feel comfortable going to see my school counselor
when I need help with SCHOOL concerns.
36. I feel comfortable going to see my school counselor
when I need help with PERSONAL concerns.
37. My school counselor helps me plan my class schedule
for the next year.
38. The school is involved with helping to develop my
education plan.
39. My school counselor has helped me understand my
WESTEST scores.
40. My school counselor has helped me understand my
EXPLORE/PLAN scores.
41. My school classes keep me interested in the topic.
42. I like coming to school.
43. My teachers are willing to help me when I have
questions.
44. I understand why I take the WESTEST.
45. I understand why I need a good education.
46. Graduating from high school is important to me.
47. Continuing my education after high school is important
to me.
48. Please list any other concern or need with which you personally would like to receive additional help.
Strongly
Disagree