Needs Assessment Survey for Parents/Guardians of Freshmen


  1. My child has 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 your child.
    Has supportive relationships with adults
    Has clear structure and rules at home
    Has a strong sense of right and wrong according to society's views
    Is able to communicate his/her feelings and thoughts
    Feels compassion towards others and has a desire to help those in need
    Has confidence in his/her academic abilities
    Has confidence in his/her social abilities
    Has at least one skill/ability in which they feel proud of himself/herself
    Is involved in at least one extracurricular activity at school
    Is confident in his/her ability to handle strong feelings like anger and frustration in healthy ways
    Thinks through the possible consequences before acting
    Is hopeful about the future


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


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


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


  1. Three things I worry about most for my child are:


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





Miss Fetcho
Business Department Chair
Fairfield Community High School
Fairfield, IL