NEEDS ASSESSMENT INVENTORY FOR STUDENTS

Name (Optional) _________________________

Grade & Section ________________________

The following are some of the needs experienced by people of your age. Please help us identify
which needs you experience and whether you believe the Guidance Program should help you with
these needs.
PART I AREAS OF CONCERN
Instructions:
A. In Column A, use the following code to indicate the extent to which it is important to you that
the Guidance Office does something to respond to the specific need. Please write the
appropriate letters under Column A.
NIA
SI
MI
VI
EI

Not Important at All

Somewhat Important
Moderately Important
Very Important
Extremely Important

B. In Column B, please indicate with a CHECK () whether the Guidance Office is already attending
to these needs.
C. In Column C, use the following code to indicate your satisfaction with the way your Guidance
Office is responding to each of these needs. Please write the appropriate numbers under
Column C.
1
2
3
4
5

1.
2.
3.
4.
5.
6.
7.
8.
9.
10.

Not Satisfied at All

Minimally Satisfied
Somewhat Satisfied
Moderately Satisfied
Very Much Satisfied

SELF DEVELOPMENT
Know and understand myself better
Get rid of my fears
Manage my time
Plan my life
Develop self confidence
Discover my talents and develop them
Improve my appearance
Learn more about the world outside
Get rid of personal vices/uncontrollable habits (drugs, alcohol,
stealing, violence, smoking, sex, gambling, computer addiction)
Others (please specify)__________________________________

7.
8.
9.
10.

FAMILY RELATIONSHIPS
Improve my relationship with my siblings
Manage siblings in a parental home
Develop the ability to discuss problems with parents
Balance between warring/separated parents
Teach parents how to handle their children effectively
Help parents manage stress/marital problems (please
underline)
Live with relatives
Cope with the expectations/demands of parents
Relate with a stepparent/step siblings (please underline)
Others (please specify) _________________________________

1.
2.
3.
4.
5.
6.
7.
8.
9.
10.

SOCIAL RELATIONSHIPS
Develop skills for starting/maintaining friendships
Make myself attractive to others
Develop the ability to avoid being taken advantage of
Know how to choose friends
Get rid of fear of social situations
Settle quarrels with/among friend
Handle boy/girl relationships
Handle peer pressure
Deal effectively with bullies
Others (please specify) _________________________________

1.
2.
3.
4.
5.
6.

STUDIES
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.

Understand my lessons
Find time to finish assignments and socialize
Develop confidence in recitations and discussions
Talk to teacher about difficulty in understanding lessons
Balance between work at home and studies
Work with classmates on projects
Cope with financial demands of subjects
Develop professionalism among teachers
Improve teaching effectiveness of teachers
Others (please specify) _________________________________

1.
2.
3.
4.

SPECIFIC SOCIAL ISSUES

Learn more about physical abuse
Learn more about sexual abuse/harassment
Learn more about emotional and verbal abuse
Handle experiences of abuse (physical, sexual, emotional,
verbal)
Handle alcoholic/drug-dependent family member

5.

6. Handle effect of disaster/crisis/calamities

7. Cope with losses (separation, abandonment, death, overseas
work)
8. Deal with parents extramarital affairs
9. Handle adjustments caused by financial crises
10. Others (please specify) _________________________________
Please feel free to write down any additional needs or concerns that you wish the Guidance
Program would address.
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
PART II GUIDANCE SERVICES
Below are some of the services that the Guidance Office can offer or is already offering.
1. In Column A, please indicate with a CHECK () whether the Guidance Office is already offering
these services.
2. In Column B, use the following code to indicate your satisfaction with the way that your
Guidance Office is offering these services, please write the appropriate numbers under Column
B.
1
2
3
4
5

Not Satisfied at All

Minimally Satisfied
Somewhat Satisfied
Moderately Satisfied
Very Much Satisfied

3. In Column A, use the following code to indicate the extent to which it is important to you that
the Guidance Office does something to respond to the specific need. Please write the
appropriate letters under Column A.
NIA
SI
MI
VI
EI

Not Important at All

Somewhat Important
Moderately Important
Very Important
Extremely Important

SERVICES
1. Collect and interpret information (test and non-test) about me
to help me understand myself
2. Provide reading materials/films that will give information on
how I can become a better person

3. Provide seminars and workshops that will enlighten me on my

concerns (personal-interpersonal, vocational-occupational,
academic-educational)
4. Arrange meetings with small groups to discuss similar
concerns
5. Regularly meet my class/section to run relevant activities
6. Call me every now and then to check on how I am
7. Call in groups of people to settle interpersonal difficulties
8. Allow me to come in at anytime to discuss anything I feel like
discussing
9. Provide training sessions for parents/guardian to help them
function better
10. Call in my parent/guardian to explain my concerns and
problems
11. Help me find the right people I can go to for my concerns
12. Help me get into a place or activity that is suited for me
13. Conduct research to help me understand how I Am in relation
to people of my own age and sex
14. Others (please specify)
___________________________________________
I wish the Guidance Office would offer the following seminars/workshops/services:
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
I wish the Guidance Program would
STOP
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
CONTINUE
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
START
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________

Reference: Implementing a Comprehensive Guidance and Counseling Program in the Philippines. Author: Imelda V.G. Villar, Ph.D.