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Do you know who your guidance counselor is?
 
Yes
 
No
 
 
 

   
 
 
 

   
 
 
 
 
Yes
 
No
 
Not Sure
 
 
 
 
Develop good study skills.
 
Learn how to make decisions and solve problems.
 
Learn to concentrate on what they are doing.
 
Develop organization skills.
 
Develop responsibility skills.
 
Develop positive attitudes toward school.
 
Learn to get their work done on time.
 
Other
 
 
 
 
How satisfied are you with your counselor?
 
1
 
2
 
3
 
4
 
5
 
6
 
7
 
8
 
9
 
10
 
 
 
How often would you like to work with your counselor in a classroom setting?
 
Weekly
 
Biweekly
 
Monthly
 
 
 
Comments/Suggestions:
   
 
 
 
Please list any personal Issues that you need to talk to your counselor about. Put your name (optional)
   
 
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