11/14/2019 Valadez Parent Needs Assessment Survey

Valadez Parent Needs Assessment Survey

We would love to hear your thoughts on how we can improve your child's experience at Valadez!

* Required

1. What is the race/ethnicity of your child? *

Mark only one oval.

White/Caucasian
Native Hawaiian or Pacific Islander
Hispanic or Latino
Asian
African American
American Indian/Alaskan Native

Other:

2. What is your child's grade level? *

Check all that apply.

Grade 6 Grade 7 Grade 8 N/A

Child 1
Child 2
Child 3
Child 4

3. Please rank your attitude towards attendance: *

Mark only one oval.

1 2 3 4 5

I think school school

I don't think school
attendance is extremely
attendance is important
important.

4. Is your student ever late coming to school? *

Mark only one oval.

No
Yes

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11/14/2019 Valadez Parent Needs Assessment Survey
5. If yes, on average how often is your child late coming to school?
Mark only one oval.

1 day a week
2 days a week
3 days a week
4 days a week
5 days a week

6. If your student is ever late coming to school, what are some of the reasons? Please check all
that apply: *
Check all that apply.

Difficulty getting out of bed

Sickness/illness
Family responsibilities
Social concerns
Not applicable

Other:

7. Is your student ever absent from school? *

Mark only one oval.

Yes
No

8. If yes, on average how often is your student absent from school?

Mark only one oval.

1 day a week
2 days a week
3 days a week
4 days a week
5 days a week

9. If your student is ever absent from school, what are some of the reasons? Please check all
that apply: *
Check all that apply.

Family responsibilities
Poor grades
Lack of motivation
Sickness/illness
Social concerns
Not applicable

Other:

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11/14/2019 Valadez Parent Needs Assessment Survey
10. The following are services provided by the school counseling department for your child.
Please indicate your knowledge of each service: *
Mark only one oval per row.

I am aware of I am not aware of I would like more information

this service this service about this service
Someone to talk to for
help about personal
social and emotional
needs
Registration, class
selection, and class
changes
Academic success and
additional support
Providing opportunities
to identify my strengths

11. My overall impression of the school counseling department is: *

Mark only one oval.

Excellent
Good
Average
Poor
I don't know much about it

12. Do you feel comfortable seeking help from your student's school counselor? *
Mark only one oval.

Yes
No
Sometimes
I have not tried seeking help from my student’s school counselor
I am unsure how to contact and seek help from my student’s school counselor

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11/14/2019 Valadez Parent Needs Assessment Survey
13. Please check all topics that you feel are most important for the personal and social
development of your child: *
Check all that apply.

Self-control
Coping skills
Stress and/or anxiety management
Bullying (including cyber-bullying)/peer harassment
Expressing/identifying feelings
Positive self-esteem
Decision making
Healthy friendships/relationships
Anger management
Family issues
Focus on strengths
Feelings of sadness, depression, or suicidal thoughts

Other:

14. Please check all topics that you feel are most important for the academic development of your
child: *
Check all that apply.

Study skills
Time management and organization skills
Goal setting
Academic motivation
Reducing test taking anxiety
Before/after school access to teachers
More access to school counselors

Other:

15. As a parent/guardian, I would like to attend a workshop on the following topic(s): *

Check all that apply.

Academic services
Transition into high school
Parenting skills
Community mental health resources
Cyber safety/monitoring technology usage
Study skills/homework help/organization
Helping your child in reading and math

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11/14/2019 Valadez Parent Needs Assessment Survey
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