PARENT/COMMUNITY SURVEYTipton Community Schools

1. Do you currently have a student attending the Tipton Community School District?

Do you currently have a student attending the Tipton Community School District? YES

NO

2. What grade levels are they in (check all that apply)

What grade levels are they in (check all that apply) K-5

6-8

9-12

3. Please indicate what priority you believe GRIEF and LOSS should receive in our school counseling program.

Highest Priority				Lowest Priority
*Please indicate what priority you believe GRIEF and LOSS should receive in our school counseling program. Highest Priority				Lowest Priority

4. Do you know anyone that has ever used the School guidance program to help with grief or loss of a loved one?

Do you know anyone that has ever used the School guidance program to help with grief or loss of a loved one? YES

NO

N/A

5. Please indicate what priority you believe SELF-ESTEEM should receive in our school counseling program.

Highest Priority				Lowest Priority
*Please indicate what priority you believe SELF-ESTEEM should receive in our school counseling program. Highest Priority				Lowest Priority

6. In your experience, do most Tipton students have a negative self-esteem (Feel inadequate and have a difficult time bouncing back after a set back)?

In your experience, do most Tipton students have a negative self-esteem (Feel inadequate and have a difficult time bouncing back after a set back)? ALL THE TIME

SOME OF THE TIME

ALMOST NEVER

NEVER

7. In your experience, do you feel that Tipton students have a positive self-esteem (Are the able to bounce back after a set back)?

In your experience, do you feel that Tipton students have a positive self-esteem (Are the able to bounce back after a set back)? ALL THE TIME

SOME OF THE TIME

ALMOST NEVER

NEVER

8. Please indicate what priority you believe HEALTHY RELATIONSHIPS should receive in our school counseling program.

Highest Priority				Lowest Priority
*Please indicate what priority you believe HEALTHY RELATIONSHIPS should receive in our school counseling program. Highest Priority				Lowest Priority

9. Do you think that most students are able to defend a friend or support them when people aren't treating them well?

Do you think that most students are able to defend a friend or support them when people aren't treating them well? ALL THE TIME

SOME OF THE TIME

ALMOST NEVER

NEVER

10. Do you think that students treat other students with respect, integrity and honesty?

Do you think that students treat other students with respect, integrity and honesty? ALL THE TIME

SOME OF THE TIME

ALMOST NEVER

NEVER

11. Do you think that students treat adults with respect, integrity and honesty?

Do you think that students treat adults with respect, integrity and honesty? ALL THE TIME

SOME OF THE TIME

ALMOST NEVER

NEVER

12. Please indicate what priority you believe ANGER MANAGEMENT should receive in our school counseling program.

Highest Priority				Lowest Priority
*Please indicate what priority you believe ANGER MANAGEMENT should receive in our school counseling program. Highest Priority				Lowest Priority

13. Does the school counseling program do a good job teaching students how to deal with anger?

Does the school counseling program do a good job teaching students how to deal with anger? Yes

No

14. Do you feel that Tipton students are able to deal with their anger issues in a constructive manner?

Do you feel that Tipton students are able to deal with their anger issues in a constructive manner? ALL THE TIME

SOME OF THE TIME

ALMOST NEVER

NEVER

15. Please indicate what priority you believe GOAL SETTING should receive in our school counseling program.

Highest Priority				Lowest Priority
*Please indicate what priority you believe GOAL SETTING should receive in our school counseling program. Highest Priority				Lowest Priority

16. Do you believe Tipton students need help to apply decision-making skills to careers and educational planning?

Strongly Agree				Strongly Disagree
*Do you believe Tipton students need help to apply decision-making skills to careers and educational planning? Strongly Agree				Strongly Disagree

17. Please indicate what priority you believe DIVORCE and SEPARATION should receive in our school counseling program.

Highest Priority				Lowest Priority
*Please indicate what priority you believe DIVORCE and SEPARATION should receive in our school counseling program. Highest Priority				Lowest Priority

18. Do you know a student that has ever used the School guidance program to help with divorce or separation?

Do you know a student that has ever used the School guidance program to help with divorce or separation? Yes

No

19. Do you know someone that needs help coping with a divorce or separation in their family?

Do you know someone that needs help coping with a divorce or separation in their family? Yes

No

N/A

20. Please indicate what priority you believe ORGANIZATION SKILLS should receive in our school counseling program.

Highest Priority				Lowest Priority
*Please indicate what priority you believe ORGANIZATION SKILLS should receive in our school counseling program. Highest Priority				Lowest Priority

21. Tipton students need help to develop effective organization skills?

Strongly Agree				Strongly Disagree
*Tipton students need help to develop effective organization skills? Strongly Agree				Strongly Disagree

22. I believe Tipton students know what they need to do in a class and can make a plan on how to do it?

Strongly Agree				Strongly Disagree
*I believe Tipton students know what they need to do in a class and can make a plan on how to do it? Strongly Agree				Strongly Disagree

23. Please indicate what priority you believe CHILDREN OF MILITARY FAMILIES should receive in our school counseling program.

Highest Priority				Lowest Priority
*Please indicate what priority you believe CHILDREN OF MILITARY FAMILIES should receive in our school counseling program. Highest Priority				Lowest Priority

24. Do you have a family member who is currently in or has recently served in the military?

Do you have a family member who is currently in or has recently served in the military? Yes

No

25. Please indicate what priority you believe CONFLICT RESOLUTION should receive in our school counseling program.

Highest Priority				Lowest Priority
*Please indicate what priority you believe CONFLICT RESOLUTION should receive in our school counseling program. Highest Priority				Lowest Priority

26. Do students know how to seek help to resolve a fight/argument/disagreement?

Do students know how to seek help to resolve a fight/argument/disagreement? Yes

No

27. Students in the district know how to handle gossip and rumors.

Strongly Agree				Strongly Disagree
*Students in the district know how to handle gossip and rumors. Strongly Agree				Strongly Disagree

28. Please indicate what priority you believe PERSONAL WELL-BEING should receive in our school counseling program.

Highest Priority				Lowest Priority
*Please indicate what priority you believe PERSONAL WELL-BEING should receive in our school counseling program. Highest Priority				Lowest Priority

29. Do you know a student that has had thoughts of wanting to harm themselves?

Do you know a student that has had thoughts of wanting to harm themselves? Yes

No

30. Do you know a student that has restricted food intake, takes part in binge eating and purging, compulsively overeats or compulsively exercises, or takes diet pills or laxatives?

Do you know a student that has restricted food intake, takes part in binge eating and purging, compulsively overeats or compulsively exercises, or takes diet pills or laxatives? Yes

No