Bell Needs Assessment

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Q19 Students from the DePaul School Counseling Graduate Program have teamed up with the
Bell Elementary Counseling Department to create a needs assessment (survey) for the
7th grade class. We are asking for your help in completing this brief survey that will give insight
for the counselors to develop and provide future programs/services that will be most helpful to
you and your classmates in regards to managing the stressors of 7th grade. Your identity will
remain private, so please do not type your names on any part of the survey. Answer the
following questions honestly as this will help us to give you the support you need! If you have
any questions or concerns about the survey, please contact or stop by Ms. Moran’s counseling
office.

Q1 Which program are you enrolled in at Bell?

o Neighborhood (1)
o Options (2)

Q2 Please identify your gender.

o Male (1)
o Female (2)

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Q3 Indicate your ideal plans for high school enrollment

o Amundsen HS (1)
o Lakeview HS (2)
o Other CPS Neighborhood HS (3)
o CPS Selective Enrollment HS (4)
o Chicago Private HS (5)
o Suburban Public HS (6)
o Suburban Private HS (7)

Q4 It is important to me to attend this type of school for the following reason(s):

▢ I am interested in a specific program at this school (1)

▢ It will influence future college and career goals (2)

▢ Parental expectations (3)

▢ Friends will also attend this school (4)

▢ School's reputation (5)

▢ The school is close to home (6)

▢ Other (7) ________________________________________________

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Q6 I am prepared to navigate the high school application and selection process.

o Disagree (1)
o Somewhat Disagree (2)
o Neither Agree Nor Disagree (3)
o Somewhat Agree (4)
o Agree (5)

Q5 Rate your general level of stress (1 meaning no stress at all to 10 meaning I'm stressed
every hour of the day).
Stress (1)

Q7 Please rank the following stressors from 1 to 5:

1 causing the most amount of stress, to 5 causing the least amount of stress.
______ Academic Stress (1)
______ Social Stress or Peer Relationships (2)
______ Family Stress (3)
______ Extracurricular Stress (4)
______ High School Application Process (5)

Q8 I have a source of stress not listed in the question above

o Yes (1)
o No (2)
Display This Question:
If I have a source of stress not listed in the question above = Yes

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Q9 My source of stress is:

________________________________________________________________

Q10 Please evaluate each statement.

Neither Agree
Somewhat Somewhat
Disagree (1) Nor Disagree Agree (5)
Disagree (2) Agree (4)
(3)
I am
confident I
can manage
my stress o o o o o
effectively. (1)
I am
comfortable
asking for
help when I o o o o o
need it. (2)
If I feel
overwhelmed,
I know what I
can talk to at o o o o o
school. (3)
If I feel
overwhelmed,
I feel
comfortable
talking with o o o o o
my parents.
(4)

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Q11 When overwhelmed, who do you feel comfortable talking to at school? (Check all that
apply)

▢ Teachers (1)

▢ School Counselor (2)

▢ Principal (3)

▢ Club Sponsor (4)

▢ Coach (5)

▢ Friends/Peers (6)

Q12 Select the statement that best describes your feelings about your current stress level.

o I do not feel stressed. (1)

o I sometimes feel stressed, but I am not concerned. (2)
o I sometimes feel stressed, and I am concerned. (3)
o I often feel stressed, but I am not concerned. (4)
o I often feel stressed, and I am concerned. (5)

Q13 I know of at least one stress management skill that works for me.

o True (1)
o False (2)

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Q14 I currently use these stress management skills. (Check all that apply.)

▢ Mindfulness or Meditation (1)

▢ Breathing (2)

▢ Positive affirmations (3)

▢ Physical activity (4)

▢ Journaling or Writing (5)

▢ Hobbies (6)

▢ Talking with Someone (7)

▢ Sleep (8)

Q15 I would like to learn more about these stress management skills. (Check all that apply.)

▢ Mindfulness or Meditation (1)

▢ Breathing (2)

▢ Positive affirmations (3)

▢ Physical activity (4)

▢ Journaling or Writing (5)

▢ Hobbies (6)

▢ Talking with Someone (7)

▢ Sleep (8)

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Q16 I would participate in the following stress management resources at school. (Check all that
apply.)

▢ Stress management groups (1)

▢ One on one meetings/Counseling (2)

▢ Relaxation activities (3)

▢ Stress management in gym class (4)

Q17 If I were to learn more stress management skills at school, I would want to do it:

▢ Before school (1)

▢ During the school day (2)

▢ Advisory (3)

▢ After school (4)

Q18 If you have any other ideas for learning stress management resources, please include
them here:

________________________________________________________________

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