Price Elementary School - Needs Assessment - Teacher

Direction: Please fill out this needs assessment survey.

Mark the answers that apply to you.

1. Do you know who Ms. Brittany Springle, the School Counselor is? Yes No
2. Do you know the various roles that the School Counselor have? Yes No
3. Do you know what a School Counselor can help your students with? Yes No
4. Do you know how the School Counselor can help you with? Yes No

Directions: On a Scale of 1-4, please mark the answer that shows how much you agree or disagree with the
following statements. (1=Strongly Disagree 2= Disagree 4= Agree 5=Strongly Agree)

5. I see my students treating others with respect on campus.

1 2 3 4
6. I see other students treating my students with respect on campus.
1 2 3 4
7. I am confident in my skills in identifying externalizing behaviors
1 2 3 4
8. I am confident in my skills in identifying internalizing behaviors.
1 2 3 4

Mark the answers that apply to you.

9. I need more support with….
() Classroom Management
() Classroom Push-In Support
() Classroom Curriculum
() Resource Information (evidence-based practice)
() Other____________

10. How can the school counselor best assist you and the needs of your students?
() Social/Emotional Lessons
() Academic Lessons
() College and Career Lessons
() Other____________

11. During a typical day, how frequently have you seen the students in your class display externalizing
behaviors?
(Externalizing behaviors are outer directed behaviors that are disruptive, dangerous, or problematic to the
school environment or other people)
() Never
() Very Rarely (1 to 3 times)
() Occasionally (3 to 5 times)
() Very Frequently (5-7 times)
() Always (7+ times)

12. During a typical day, how frequently have you seen the students in your class display internalizing
behaviors?
(Internalizing behaviors are are inner directed behaviors that cause internal distress or discomfort and result
in a range of behaviors that interfere with academic engagement and success.)
() Never
() Very Rarely (1 to 3 times)
() Occasionally (3 to 5 times)
() Very Frequently (5-7 times)
() Always (7+ times)

Directions: On a Scale of 1-4, please mark the answer that shows how much you agree or disagree with the
following statements. (1=Strongly Disagree 2= Disagree 3= Agree 4=Strongly Agree)
13. The students in my class show disruptive behaviors in the classroom.
1 2 3 4

14. If you answered 3 or 4 to the previous question, how frequently do your students show disruptive behaviors
in the classroom.
() Never
() Very Rarely (1 to 3 times)
() Occasionally (3 to 5 times)
() Very Frequently (5-7 times)
() Always (7+ times)

15. The students in my class show aggressive behaviors towards other students.
1 2 3 4

16. If you answered 3 or 4 to the previous question, how frequently do your students show aggressive
behaviors towards other students in the classroom.
() Never
() Very Rarely (1 to 3 times)
() Occasionally (3 to 5 times)
() Very Frequently (5-7 times)
() Always (7+ times)

17. The students in my class show defiant or oppositional behaviors towards me in the classroom.
1 2 3 4
18. If you answered 3 or 4 to the previous question, how frequently do your students show defiant or
oppositional behaviors towards you in the classroom.
() Never
() Very Rarely (1 to 3 times)
() Occasionally (3 to 5 times)
() Very Frequently (5-7 times)
() Always (7+ times)

19. The students in my class act withdrawn from the lesson or with other students.
1 2 3 4

20. If you answered 3 or 4 to the previous question, how frequently do your students act withdrawn from the
lesson or with other students in the classroom.
() Never
() Very Rarely (1 to 3 times)
() Occasionally (3 to 5 times)
() Very Frequently (5-7 times)
() Always (7+ times)

21. The students in my class exhibit negative talk towards self, school, or their future.
1 2 3 4

22. If you answered 3 or 4 to the previous question, how frequently do your students exhibit negative talk
towards self, school, or their in the classroom.
() Never
() Very Rarely (1 to 3 times)
() Occasionally (3 to 5 times)
() Very Frequently (5-7 times)
() Always (7+ times)

23. The students in my class exhibit or discuss emotional problems with each other.
1 2 3 4

24. If you answered 3 or 4 to the previous question, how frequently do your students exhibit or discuss
emotional problems with each other in the classroom.
() Never
() Very Rarely (1 to 3 times)
() Occasionally (3 to 5 times)
() Very Frequently (5-7 times)
() Always (7+ times)