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Answer each statement and check how true it is. |
I need help with the following PERSONAL concerns: | | | | | |
1. Making friends/Fitting in at school | | | | | |
2. Dealing with peer pressure | | | | | |
3. Making better decisions | | | | | |
4. Improving communication | | | | | |
5. Teen Pregnancy Prevention | | | | | |
6. Getting involved in school activities | | | | | |
7. Dating or relationship issues | | | | | |
8. Concerns about alcohol and/or drug use | | | | | |
9. Helping myself (gaining more self-confidence, feeling better about myself, expressing my feelings and thoughts) | | | | | |
10. Being more assertive | | | | | |
11. Handling teasing or being bullied | | | | | |
12. Getting along with other students better | | | | | |
13. Feeling sad or depressed | | | | | |
14. Feeling suicidal | | | | | |
15. Grief over the loss of a loved one | | | | | |
16. Parental divorce of separation | | | | | |
17. Dealing with anger | | | | | |
18. Feeling stressed | | | | | |
19. Feeling anxious or irritable | | | | | |
20. Skills for resolving conflicts | | | | | |
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I need help with the following SCHOOL concerns: | | | | | |
21. Being more organized/Managing my time better | | | | | |
22. Improving study skills | | | | | |
23. Improving test-taking skills | | | | | |
24. Understanding the best career/college options for me | | | | | |
25. The college application process | | | | | |
26. Understanding my learning style to improve how I learn | | | | | |
27. Knowing about and applying for scholarships and financial aid | | | | | |
28. Knowing what educational options are available to me when I graduate | | | | | |
29. Transitioning to a new school | | | | | |
30. Understanding graduation requirements | | | | | |
31. Selecting a career cluster or concentration | | | | | |
32. Someone in the school to regularly helped me plan for my future career. | | | | | |
33. Having at least one staff member in the school that I believe cares deeply about me and my success. | | | | | |
34. Having a clear career plan to follow when I graduate. | | | | | |
35. Being involved in at least one school activity outside of class. | | | | | |
36. Understanding why I need a good education. | | | | | |
37. I will stay in school until I graduate high school. | | | | | |
38. Continuing my education after high school. | | | | | |
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