High School

Orientation Survey

 

Last Name           

First Name          

Student ID           

Grade                  

Homeroom:          

Home School       

Expected Year of Graduation 

 

Have you been to the Guidance Center in previous years? Yes             No

 

Is this your first visit to the Guidance Center this year? Yes               No

 

 

How many times have you been here this year?         

 

 

What was the choice you made that caused you to be in trouble?

 

 

 

 

Why was it wrong to do what you did?

 

 

 

 

What would you do differently in the future so that you will not get in trouble?

 

 

 
Do you think an assignment to the Guidance Center was an appropriate consequence? Yes                     No

 

If you answered "no", what consequence do you think you should have received?

 

 

 

 

Name an adult from your home campus that can help you stay out of trouble and succeed in school.

 

 

 

 

Over all, how has your year been so far?

 

 

 

 

Name two goals you have for yourself.

 

 

 

Do you plan to go to college?   Yes

No

 

If so, what college do you plan to attend?

 

 

 

 

Which of the following would you like more information on?  

High school credit requirements

How many credits do I have?

College Information

Tutoring

Financial Aid

Dealing with my emotions

Drug or Alcohol Abuse Information

Anger Management

Family and Positive Relationships

Career Choices

Study Skills

Other 

 

 

 

I would like to see a counselor Yes, please

  No thanks, not at this time

 

 

One thing I would like for you to know about me is: