Needs Assessment Survey for Freshmen



  1. I have been harassed, teased, and/or bullied at FCHS. 


  1. Teasing, name-calling. cliques, and/or harassment are a significant problem facing the students at FCHS. 


  1. Theft is a significant problem at FCHS. 


  1. Drug and alcohol use is a significant problem among the students at FCHS. 


  1. Prescription drug abuse is a significant problem among the students at FCHS. 


  1. Marijuana use is a significant problem among the students at FCHS. 


  1. Many students do not consider the risks involved with having sex. 


  1. Verbal, physical, and/or emotional abuse in teenage dating relationships is a significant problem at FCHS. 


  1. Choose the characteristics listed below that describe you.
    Have supportive relationships with adults
    Have clear structure and rules at home
    Have a strong sense of right and wrong according to society's views
    Am able to communicate my feelings and thoughts
    Feel compassion towards others and have a desire to help those in need
    Have confidence in my academic abilities
    Have confidence in my social abilities
    Have at least one skill/ability in which I feel proud of myself
    Am involved in at least one extracurricular activity at school
    Am confident in my ability to handle strong feelings like anger and frustration in healthy ways
    Think through the possible consequences before acting
    Am hopeful about the future


  1. Choose the issues/topics you would like to see addressed in a session for students.
    Communicating with your parents/guardians
    Teens and dating
    Drugs/alcohol
    Understanding limits set by parents/guardians
    Stress and healthy coping skills
    Teen suicide
    Depression and anxiety
    Increasing my study skills
    Self-esteem
    Healthy relationships
    Teens and sexuality
    Preparing for life after high school
    Changing the school atmosphere


  1. What are the three obstacles that prevent you from having a healthy relationship with your parents/guardians?


  1. What are three things you enjoy most about being a teenager?


  1. Three things I worry about most in school are:


  1. Please list any other issues you feel are important for a school counselor/social worker to address with students:





Business Department Chair
Fairfield Community High School
Fairfield, IL