Who is your homeroom teacher? 

What school do you attend?

What grade are you in? 
 
1.  My counselor’s name is

2.  My counselor knows who I am: very much   somewhat   not at all

3.  How do you get in touch with your school counselor?


4.  I know the job of my school counselor: yes no

5.  I feel comfortable going and talking to my school counselor: yes no

6.  Has your school counselor helped you throughout your middle school years?  yes no

7.  Check the top five classroom topics that you have found to be the most helpful throughout your middle school years?

Decision Making Friendship Issues
Teasing/Bullying Peer Pressure
Conflict Resolution Stress/Anxiety
Careers Goal Setting
Time Management High School Transition
Diversity Team Building Activities
Self Identity/Awareness Communication

8.  What topic(s) would you suggest for future guidance classes?


9.  The topics I discussed with my school counselor in an individual or small group setting were: (check the topics discussed)

Anger Management Social Skills
Teasing and Bullying Friendship Issues
Peer Pressure Family Issues (divorce, brother/sister)
Illness or Death Self-Esteem
Conflict Resolution Stress/Anxiety
Scheduling Concerns High School Registration
Academics (grades, teacher issues) Private School Applications
Goal Setting Other

10.  What are some things you can remember talking about with your school counselor?


11.  What I learned from my school counselor that helped me the most was:


12.  How did you learn about other secondary school options?  Parent   Counselor   Other

13.  Who helped you through the application process of  other secondary school options?


14.  List all of the other High Schools that you have applied to other than P.H.S.:


15.  If you were accepted, name the school(s):


16.  What high school do you plan to attend in the fall?


17.  Please feel free to use this space to make any comments about programs, your time at R.M.S/M.M.S.,
or anything else you want us to know.