Outreach Program: Need Assessment

Purpose:

The survey below is designed to obtain need assessments from Sherpa high school students. It asks questions about you, your academics, school environment, and your family. This survey is for research purpose only.

Direction:

Please rate your level of satisfaction in the area below and use the space provided below for any comments.

Strongly Agree Strongly Disagree N/A

Agree Disagree

1. My high school prepares me for college.	1	2	3	4	5
2. Teachers at my school frequently communicate with me about how I can succeed in school.	1	2	3	4	5
3. Help and support from teachers will improve my ability to be successful in school.	1	2	3	4	5
4. I meet with my guidance counselor to discuss high school class schedules for all 4 years.	1	2	3	4	5
5. Counselor advice will improve my ability to be successful in school.	1	2	3	4	5
6. I am familiar with the academic A-G requirements (15 credits) that students must complete in order to be accepted into a 4-year college.	1	2	3	4	5
7. My parents have a high school or equivalent degree.	1	2	3	4	5
8. Language barriers affect the communication between school staff and my parents.	1	2	3	4	5
9. My parents are well informed about my progress in school.	1	2	3	4	5
10. My family is playing a big role in preparing me for graduation from high school.	1	2	3	4	5
11. I plan to graduate from my current high school.	1	2	3	4	5
12. I plan to pursue a college education.	1	2	3	4	5
13. I am familiar with the college application process.	1	2	3	4	5
14. I will be applying for financial aid.	1	2	3	4	5

Comments:

Name:

Age:         

Gender:

Year: Freshmen/ Sophomore/ Junior / Senior (circle one)

Current/Average GPA:

Current School:

Home Address:

            City:

            State:

Zip code:

E-mail: Phone No.:

Language(s) my parents/ guardians and I speak at home.

Me: Parents:

I have been in the US for ____ years.