Thank you for taking the time to answer the questions in this survey.  Your honest response to all questions will assist in the review of the School Counseling Program, including guidance and adjustment counseling.  All responses will be kept confidential.

For the purpose of this survey, school counseling is defined as support services provided by a school social worker or guidance counselor. Examples of school counseling support services include, but are not limited to, individual counseling, small group counseling, scheduling classes, career/college guidance.

* 1. What is your gender

* 2. What is your grade level?

* 3. Please select the appropriate response after each statement that best reflects your opinion.

  Strongly Disagree Disagree In the Middle Agree Strongly Agree
A teacher or other staff member at my school has helped me with personal and/or school problems.
A teacher or other staff member at my school has helped me to think about my goals after graduation from high school.
A teacher or other staff member at my school has provided me with information about careers.
A teacher or other staff member at my school has helped me with future educational planning and college.
I have participated in classroom or small group programs covering topics such as study skills, violence prevention, peer pressure, etc.
A teacher or other staff member at my school has helped me to learn about my strengths, abilities, and learning styles.

T