6-8 Needs Assessment
6-8 Needs Assessment
6-8 Needs Assessment
Please fill out this survey to help me get to know you a little better.
Read each sentence. Put a circle around the number that shows how you think and feel right now. If you’d like to give me
more information about the statement, write below the question.
1 = Strongly agree
2 = Agree somewhat
3 = Agree
4= Disagree somewhat
5= Strongly disagree
Strongly Agree Strongly Disagree
I like who I am Agree 1 2 3 4 5
I am a responsible person 1 2 3 4 5
I have good attendance 1 2 3 4 5
Strongly Agree Strongly Disagree
Agree
I am never tardy 1 2 3 4 5
I always do my homework 1 2 3 4 5
I am a leader 1 2 3 4 5
Is there anything else you’d like Ms. Moundros to know about you?