5th Grade Student Assessment

Lincoln Elementary

As a school counseling intern, I would appreciate your input in helping me provide the best
services to meet your needs as 5th graders. I am asking you to complete the questionnaire below.
Please check each statement that is important to you. Thank you! J

____1. I am interested in improving my study/organizational skills.

____2. I am interested in learning how to improve my self-confidence.

____3. I would like to better understand my skills and abilities.

____4. I would like to explore what I want to be when I grow up.

____5. I would like to learn how to communicate better with others.

____6. I would like to learn how to set a goal and succeed.

____7. I am interested in learning more about the transition to middle school.

____8. I am interested in learning more about healthy relationships and getting along with others.

____9. I am interested in learning more about college and why it is important.

____10. I would like to learn how to deal with pressures from home, school or friends.