EVSU-1-ACA-16.

037-0029
Revision No. 00
Republic of the Philippines
EASTERN VISAYAS STATE UNIVERSITY
Tacloban City
-oOo-
STUDENT SERVICES DEPARTMENT
Office of the Guidance Services

NEEDS ASSESSMENT QUESTIONNAIRE

Profile

Name (optional): ________________________________________ Course: __________________

Age: _______ Lives With: ( ) Single Mother Highest Educational

Status: _______ ( ) Single Father Attainment of Parents:
Gender: _______ ( ) Two Biological Parents Elementary: Level( ) Graduate( )
Ordinal Position in the Family: ______ ( ) Parent with Stepparent High School: Level( )Graduate( )
Place of Origin: __________________ ( ) Relatives College: Level( ) Graduate ( )
City ( ): _________________________ Municipality ( ): _____________ Others: _________________
Family Monthly Income:
( ) Php 10,000 & below
( ) above Php 10,000
Student Instructions: The Office of Guidance Services envisions developing and providing programs that meet your needs and
determine how well you believe the school counselors are meeting your needs. Please be totally honest in your responses and
help us identify which needs/concerns/problems you are experiencing or have experienced should be given priority in the
design of the Comprehensive Guidance Program. The answer and information you will be sharing through this survey will be
safeguarded and given due confidentiality. Thank you for your help. PLEASE READ EACH STATEMENT AND CHECK THE MOST
APPROPRIATE ANSWER CHOICE FOR YOU.
Highly Moderately Somewhat Not Needed
PERSONAL-SOCIAL Concerns:
Needed Needed Needed
SELF-DEVELOPMENT
1.) Self-awareness: better understanding of one’s personality, feelings
and choices.
2.) Coping from excessive worry about the future
3.) Understand and learn how to manage stress
4.) Know how to achieve life satisfaction
5.) Learn how to manage emotion in sorrowful situations
6.) Develop positive self-image, self-esteem and self-confidence
7.) Learn how to manage your anger
8.) Overcome self-defeating and negative thoughts
9.) Learn how to develop positive mindset `
10.)Improving my communication skills (writing, reading, speaking)
11.) Identify my strengths and weaknesses
12.) Improve my self-representation: appearance, cleanliness, hygiene
13.)Understanding & combating sleep deprivation
14.) Understanding emotions in different situations
15.) Recognize my fears/worries and get rid of them
16.) Learn problem solving, goal setting and decision-making skills
17.) Improve my leadership potential and style
18.) Develop self-discipline and self-control
19.) Develop positive values and attitude
20.) Learn how to forgive others, overcome self-blame & hatred
FAMILY & SOCIAL RELATIONSHIP
1.) Improve relationship with family
2.) Learn how to cope with loses (parent’s separation, abandonment,
death, overseas parents/relatives)
3.) Coping with difficulty accepting stepparent, stepsister &
stepbrother
4.) Learn to understand parent’s extramarital affair and deal with its
effect too you and your family
5.) Learn how to deal with sibling rivalry
6.) Develop the ability to openly discuss problems to parents and
strengthen communication towards them
7.) Help parents better understand and effectively handle their
children – bridging the generation gap
8.) Learn how to cope with the expectations and demands of the
parents and relatives
EVSU-1-ACA-16.037-0029
Revision No. 00
Republic of the Philippines
EASTERN VISAYAS STATE UNIVERSITY
Tacloban City
-oOo-
STUDENT SERVICES DEPARTMENT
Office of the Guidance Services

9.) Cope with adjustment and obtain strategies in dealing with

financial and other challenges in the family
10.) Improve peer relationship
11.) Learn to become open to discussion concerning your values,
feelings, experiences & thoughts to others
12.) Develop social skills and meaningful relationship to others
13.) Understand feelings of nervousness & shyness during social
situations and gatherings
14.) Experience how to be accepted and appreciated by others
15.) Participate and feel the belongingness by joining school
organizations
16.) Value membership in fraternities and sororities
17.) Learn how to properly handle boy-girl relationship
18.) Learn how to understand my own identity and sexual preference
19.) Learn how to understand & accept the LGBT people
20.) Learn how to understand, accept & support persons with
different abilities (PWDs)
21.) Learn how to respect and value the opinion and choices of other
people
22.) Learn how to be positively assertive and opinionated yet less
dominating in every conversation and social situation
23.) Learn how to avoid and deal with conflicts with family, friends
and other people – (conflict management)
24.) Feel safe inside the school community
25.) Understand and apply the concepts of bullying, its causes/effects
and how we can support in developing a friendly school
environment
MORAL/SPIRITUAL CONCERNS
1.) Better understand all important information relating to drug
abuse, alcohol abuse so as smoking. Learn what to do when you
or any family member becomes alcohol, smoking and drug
dependent.
2.) Learn more about all types of abuse (physical, sexual, verbal,
emotional and psychological abuse) and how to deal with an
abusive situation.
3.) Learn important knowledge concerning sexual harassment and
discrimination how to make use of them in real life/critical
situations
4.) Know how to decide and act properly when faced with morally
challenging situation (life and financial crisis, calamities,
disasters)
5.) Learn how to value and respect your schoolmate and
fellowmen’s culture, religion and other form of individual
differences.
6.) Enhance my spiritual understanding and strengthen my faith in
God
7.) Understand the value of life and the moral responsibility not to
intentionally harm a person, animal or any living being
8.) Understand better the pressing issue of suicide, it’s causes and
effect and how we can make use of them during personal
dilemma so as in helping other people
9.) Recognize the moral and overall risk of pre-marital sex and
teenage pregnancy. Learn relevant information concerning the
topics mentioned including potential risk to sexually transmitted
diseases, use of contraceptive etc.
10.) Acquire all necessary information about abortion
11.) Understand Gay and Lesbian relationship and marriage and
your perception of the Filipino family.
12.) Recognize the impact of lying and stealing to your moral
conscience

Highly Moderately Somewhat Not Needed

ACADEMIC Concerns:
Needed Needed Needed
1.) Proper guidance and educational placement in making significant
career choices in high school or in college
2.) Adequate assistance in my transition and adjustment from high
school to college or elementary to high school
EVSU-1-ACA-16.037-0029
Revision No. 00
Republic of the Philippines
EASTERN VISAYAS STATE UNIVERSITY
Tacloban City
-oOo-
STUDENT SERVICES DEPARTMENT
Office of the Guidance Services

3.) Understand the school policies, rules and regulations of the school
and familiarize the key officials, faculty members, different offices
and services and other relevant information I would need to know in
order to maximize my academic learning
4.) Identify my learning style and the multiple intelligences that I have
5.) Develop all my study habits and effective study strategies (Goal
Setting, thinking skills, memorization techniques, note-taking,
avoiding procrastination)
6.) Develop my motivation and my perception towards the value of
education)
7.) Learn how to avoid procrastination and concentrate to studies
7.) Create available academic support group (study buddy)and peer
counseling group
8.) Learn how to work with classmates on projects and group activities
9.) Improve teaching effectiveness of teachers
10.) Develop a conducive learning environment and professionalism
among teachers (teachers’ tardiness, absenteeism, unjust
treatment and grading, submission of grades on time)
11.) Learn how to openly discuss difficulty on the subject to the teachers
12.) Enhance my reporting, presentation and research skills
13.) Develop student-teacher relationship; the teacher showing better
support and encouragement to the student in succeeding
academically
14.) Improve school facilities like internet room, laboratory room,
library etc.
15.) Learn how to concentrate on studies and avoid procrastination
16.) Availability of scholarship and other financial assistance to most
students
17.) Learn to deliver my duties and responsibilities as a student of the
university
18.) Fair and proper treatment to students regarding school uniform
Particularly the security regards
19.) Proper treatment to students whenever we approach offices to
avail services (registrar, cashiering, medical, accounting, library
services etc.)
20.) Improve the effectiveness and fastness of the processing and
services in all offices (enrolment, requesting of credentials and
other academic documents, reimbursement, purchase request,
counseling, testing and scholarship etc.)

Highly Moderately Somewhat Not Needed

CAREER-OCCUPATIONAL Concerns:
Needed Needed Needed
1.) Discover for what work/occupation my talents and abilities could
be useful
2.) Discover in what work and occupation my interests and inclinations
can be satisfied
3.) Determine what work/occupation would best suit my personality
traits and characteristics
4.) Help me discover what skills I need to develop for my chosen
occupation
5.) Help select college/university and the program or track that is most
suitable for me to pursue for High School student or in college
6.) Learn more about the Philippine Job Market; what are the in-
demand, hard-to-fill job and emerging industries in the Philippines
nowadays
7.) Develop key skills competencies (communication skills, power
dressing, personality development) in preparation to work
8.) Improve my employability by learning important resume making
and successful interview strategies.
9.) Assistance from the university in getting the chance to have a job
after college in the local, national community or even abroad
10.) Be immersed in a course relevant on the job training. Wherein I `
can develop my core competencies as an IT, Engineering,
Entrepreneurship, Interior Design major and the rest of the courses
programs in the university
11.) Develop professional work ethics and positive job attitudes
(initiative, punctuality, dedication to work, honesty etc.)
EVSU-1-ACA-16.037-0029
Revision No. 00
Republic of the Philippines
EASTERN VISAYAS STATE UNIVERSITY
Tacloban City
-oOo-
STUDENT SERVICES DEPARTMENT
Office of the Guidance Services

12.) Opportunity to discuss difficulty, challenges and positive experience

during the on-the-job training in order to process its impact on
my professional growth, emotional, psychological well-being and all
aspect of my development
13.) Increase number of outcome based trainings and seminars relevant
to the improvement of core skills and competencies of my course
and all other courses within and outside the university (example
hands on and accredited trainings from TESDA, DOLE etc.)
14.) Increased knowledge and access to job search engines and
programs for easier job hunting scheme (e.g. PESO Skills
registration system, Phil-Job Net, Jobstreet etc.)
15.) Increase tracking and monitoring scheme of the previous
graduates in terms of their life and career status after finishing
their four to five years academic term in the university. Continued
assistance and opportunity for the students even after graduation

Highly Moderately Somewhat Not Needed

COUNSELING Concerns:
Needed Needed Needed
1.) Availability of any approachable and concerned personnel I can go
to with a concern/problem
2.) To feel comfortable talking to the school guidance counselor about
academic and personal concerns. The confidentiality of our
conversation should be assured.
3.) Learn more about the school counseling services
4.) Availability of the counselors whenever a need arise most
Importantly during emergencies and urgent situation. Availability
of emergency hotlines should be extended to students
5.) Availability of a counselor that is knowledgeable, effective and full
of positive values

Prepared by:

MARIA THERESA M. HERBOLINGO, LPT

OIC Head, Office of the Guidance Services
321-4692/09985324625
EVSU-1-ACA-16.037-0029
Revision No. 00
Republic of the Philippines
EASTERN VISAYAS STATE UNIVERSITY
Tacloban City
-oOo-
STUDENT SERVICES DEPARTMENT
Office of the Guidance Services