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Student Needs Questionnaire

Georgetown ISD Department of Guidance and Wellness will be administering a Student Needs Questionnaire to all high school students during the month of October. 

The questionnaire will be administered on the following dates:

  • East View High School - Wednesday, October 3, 2017
  • Georgetown High School - Tuesday, October 17, 2017
  • Richarte High School - Thursday, October 12, 2017

The questionnaire addresses both academic and personal concerns in the form of a scale, from “almost always” to “never.”  The questions are listed below for your review.  



  1. I need help being more organized
  2. I need help managing my time better
  3. I need help improving my study skills
  4. I need help with reducing test anxiety
  5. I need help improving my test-taking skills
  6. I need help understanding what my test scores mean in relation to my academic career
  7. I need help understanding the best career options for me
  8. I need help planning my options after high school
  9. I will stay in school until I graduate from high school
  10. I will continue my education after high school



  1. I have concerns about making friends
  2. I need help getting involved in school activities
  3. I have dating or relationship problems
  4. I have concerns about my alcohol and/or drug use
  5. I need help gaining more self-confidence and feeling better about myself
  6. I have trouble expressing my feelings and thoughts
  7. I have trouble getting along with other students
  8. I need help getting along better with family
  9. I need skills for solving conflicts
  10. I grieve over the loss of a loved one
  11. I struggle to deal with the divorce or separation of my parents


I have a trusted adult that I can talk to when I need help.  Yes/No

In the last 30 days, I have experienced one or more of the following: depression, or anxiety.  I would like to talk to my school counselor about this soon.  Yes/No

In the last 30 days, I have experienced one or more of the following: suicidal thoughts, self-harming thoughts or behavior.  I would like to talk to my school counselor about this today.  Yes/No

We want parents to be aware there is a question that asks students if they have thoughts about hurting themselves.  On the day the questionnaire is administered, additional counselors will be on-hand at the campus to review all questionnaires and meet with students who indicated they are struggling and would like to visit with a counselor.  All students are encouraged, but will not be required to participate in the questionnaire.  

If you have questions or concerns about the Student Needs Questionnaire, please contact your child’s counselor.