Appendix E
Sample Guidance and Counseling Program
Evaluation Surveys
for
Teacher, Student, and Counselor
Missouri Comprehensive Guidance Programs: Linking School Success with Life Success 125
Sample Surveys
The following surveys provide perceptual data from students, teachers, and school counselors
regarding the guidance and counseling program. There are three surveys:
1. A look at the guidance and counseling program from the student point of view
2. A look at the guidance and counseling program from the teachers’ point of view
3. A look at the guidance and counseling program from the school counselor’s point
of view
These sample surveys are designed for middle school on up but may be adapted as a school
sees fit for any grade level.
By quantifying responses and utilizing an EXCEL Spreadsheet, data can be created that will
summarize and chart responses for analysis purposes. Schools are encouraged to do this.
Missouri Comprehensive Guidance Programs: Linking School Success with Life Success 126
A Look at the Guidance and Counseling Program
From the Student’s Point of View
INSTRUCTIONS: Circle one category in each of the three demographic areas in the box below.
GRADE: 6 7 8 9 10 11 12 GENDER: Female Male ETHNICITY: Native American Asian Black Hispanic White
WAYS IN WHICH YOU MET WITH A SCHOOL COUNSELOR:
About how many times has a counselor met with you in each of the following ways?
Since Winter Vacation For the Entire School Year
Classroom presentations by a counselor ____________ ____________
Small-group meetings with a counselor ____________ ____________
One-on-one meetings with a counselor ____________ ____________
Student/parent/counselor conferences ____________ ____________
Student/teacher/counselor conferences ____________ ____________
Meetings with a counselor and someone from outside the school ____________ ____________
Missouri Comprehensive Guidance Programs: Linking School Success with Life Success 127
SERVICES PROVIDED OR TOPICS DISCUSSED BY A COUNSELOR HAS A COUNSELOR MET WITH IF IT HAPPENED, WAS IT HELPFUL?
YOU TO…
Very Quite Some Very Not
Yes Unsure No
Much a Bit what Little Really
. . .help manage your feelings?
. . .provide guidance and counseling so you can make good decisions?
. . .guide you in taking responsibility for your educational planning?
. . .assist you in setting goals and making plans?
. . .help you in accepting the consequences of your decisions?
. . .help you manage changes?
. . .aid in understanding others’ behaviors?
. . .help you take responsibility for your behavior?
. . .help you cope with peer relationships?
. . .set challenging educational goals?
. . .help establish personal goals?
. . .make available information on educational opportunities?
HAS A COUNSELOR MET WITH IF IT HAPPENED, WAS IT HELPFUL?
SERVICES PROVIDED OR TOPICS DISCUSSED BY A COUNSELOR YOU TO…
Yes Unsure No Very Quite Some Very Not
Much a Bit what Little Really
. . .help you select specific high school courses reflecting your
educational goals?
. . .assist in making plans for achieving short-, intermediate, and long-
term goals?
. . .relate jobs to interests, skills, values, and education?
. . .assist in career and/or vocational planning?
. . .discuss the importance of time management?
. . .talk about peer pressure?
. . .address health-related problems?
. . .help with behavior problems?
. . .aid in explaining test results?
. . .help you to deal with feelings of grief and/or loss?
. . .give you information on community agencies and/or resources?
. . .provide help when you were experiencing academic difficulty?
. . .just listen?
. . .help you deal with stress?
. . .coordinate conferences between your parents and school staff?
. . .help you deal with a drug and/or alcohol problem?
. . .offer guidance and counseling on a personal, private issue?
Missouri Comprehensive Guidance Programs: Linking School Success with Life Success 128
YOUR CLOSING THOUGHTS: YOUR CLOSING THOUGHTS:
What was the one service or topic of discussion that was most Overall, is the high school guidance and counseling program
beneficial or helpful to you? meeting your needs?
_________________________________________________________
YES UNSURE NO Why?
_________________________________________________________
__________________________________________________________
_________________________________________________________
__________________________________________________________
__________________________________________________________
Missouri Comprehensive Guidance Programs: Linking School Success with Life Success 129
A Look at the Guidance and Counseling Program
From the School Counselor’s Point of View
STUDENT CONTACT: Over the course of the school year, of the total student body, about what percent did you meet with in each
of the following ways (to the nearest 5%)? To the nearest tenth (X.X times) about how many times did you
meet with the average student in each of the following ways?
Percent of Student Body Number of Times per Student
Classroom presentations by a counselor _____________________ __________________________
Small-group meetings with a counselor _____________________ __________________________
One-on-one meetings with a counselor _____________________ __________________________
Student/parent/counselor conferences _____________________ __________________________
Student/teacher/counselor conferences _____________________ __________________________
Meetings with a counselor and someone from outside the school _____________________ __________________________
SERVICES PROVIDED OR TOPICS DISCUSSED BY A FOR THE STUDENTS FOR WHOM WAS IT HELPFUL TO THE STUDENTS?
COUNSELOR YOU WERE ASSIGNED HOW
MANY DID YOU MEET TO…
(See scale Very Quite Some Very Not
6 5 4 3 2 1
below.) Much a Bit what Little Really
. . .help manage your feelings?
. . .provide guidance and counseling so you can make good decisions?
. . .guide you in taking responsibility for your educational planning?
. . .assist you in setting goals and making plans?
. . .help you in accepting the consequences of your decisions?
. . .help you manage changes?
. . .aid in understanding others’ behaviors?
. . .help you take responsibility for your behavior?
. . .help you cope with peer relationships?
. . .set challenging educational goals?
. . .help establish personal goals?
. . .make available information on educational opportunities?
6 = All/virtually all 5 = Most 4 = Quite a few 3 = Some/more than just a few 2 = Only a handful, or so 1 = None/virtually none
Missouri Comprehensive Guidance Programs: Linking School Success with Life Success 130
SERVICES PROVIDED OR TOPICS DISCUSSED FOR THE STUDENTS FOR WHOM YOU WERE WAS IT HELPFUL TO THE
BY A COUNSELOR ASSIGNED HOW MANY DID YOU MEET TO… STUDENTS?
Very Quite Some Very Not
(See scale below.) 6 5 4 3 2 1
Much a Bit what Little Really
. . .help you select specific high school courses reflecting your educational goals?
. . .assist in making plans for achieving short, intermediate, and long term goals?
. . .relate jobs to interests, skills, values, and education?
. . .assist in career and/or vocational planning?
. . .discuss the importance of time management?
. . .talk about peer pressure?
. . .address health-related problems?
. . .help with behavior problems?
. . .aid in explaining test results?
. . .help you to deal with feelings of grief and/or loss?
. . .give you information on community agencies and/or resources?
. . .provide help when you were experiencing academic difficulty?
. . .just listen?
. . .help you deal with stress?
. . .coordinate conferences between your parents and school staff?
. . .help you deal with a drug and/or alcohol problem?
. . .offer guidance and counseling on a personal, private issue?
6 = All/virtually all 5 = Most 4 = Quite a few 3 = Some/more than just a few 2 = Only a handful, or so 1 = None/virtually none
YOUR CLOSING THOUGHTS: YOUR CLOSING THOUGHTS:
What was the one service or topic of discussion that was Overall, is the high school guidance and counseling program
most beneficial or helpful to you? meeting your needs?
_________________________________________________________ YES UNSURE NO Why?
__________________________________________________________
_________________________________________________________
__________________________________________________________
_________________________________________________________
_________________________________________________________
Missouri Comprehensive Guidance Programs: Linking School Success with Life Success 131
A Look at the Guidance and Counseling Program from the
Teacher’s Point of View
BACKGROUND INFORMATION:
Campus name: ___________________________________________________
Number of years on this campus (include this year): ___________________
All the grade levels with which you work: 9 10 11 12
Subject area(s) you teach (mark all that apply):
________ English _______ Mathematics ______ Natural Sciences _______ Social Sciences
________ Special Education ________________ Other: _____________________________
SPECIALIZED ROLES:
Does your campus have a counselor clearly designated as a (circle one):
Special Education Counselor? YES UNSURE NO
Substance Abuse and Prevention Education Counselor? YES UNSURE NO
Missouri Comprehensive Guidance Programs: Linking School Success with Life Success 132
Using this coding scheme, circle your observations for each of the following statements.
Occurrence: Y = Yes, it occurred. U = Unsure if it occurred. N = No, it never occurred.
Helpfulness (If it occurred, did it help the students?):
++ = Very Helpful + = Somewhat helpful - = Not very helpful -- = Not at all helpful
Occurrence Helpfulness
School Counselors (using the Guidance and Counseling Curriculum)...
… assist students in their personal development. Y U N ++ + - --
… assist students in their social development Y U N ++ + - --
… assist students in their career development. Y U N ++ + - --
… assist students in their educational development. Y U N ++ + - --
… help students function effectively with others in school. Y U N ++ + - --
… are an integral part of the school community team. Y U N ++ + - --
… have favorable interpersonal relations among the school staff. Y U N ++ + - --
… have adequate physical facilities and equipment. Y U N ++ + - --
… consult and coordinate with teachers in guidance and counseling
curriculum delivery. Y U N ++ + - --
… train teachers in guidance and counseling curriculum delivery. Y U N ++ + - --
… directly teach the guidance and counseling curriculum. Y U N ++ + - --
School Counselors (using the Individual Student Planning Services)...
… conduct group guidance and counseling sessions. Y U N ++ + - --
… insure accurate and meaningful interpretation of tests and other
appraisal results. Y U N ++ + - --
Missouri Comprehensive Guidance Programs: Linking School Success with Life Success 133
Occurrence Helpfulness
… consult with those responsible for providing other career
and educational information Y U N ++ + - --
… collaborate with teachers in the development of Individual
Planning System activities and procedures such as
pre-registration and testing. Y U N ++ + - --
… hold new-student orientation seminars. Y U N ++ + - --
… disseminate information from special testing
(e.g., PSAT, SAT, ASVAB). Y U N ++ + - --
School Counselors (using Responsive Services)...
… conduct group counseling. Y U N ++ + - --
… plan interventions to anticipate recurring problems/situations
faced by students due to their developmental stage. Y U N ++ + - --
… collaboratively work with mental health specialists as needed. Y U N ++ + - --
… maintain appropriate documentation and records as needed. Y U N ++ + - --
… provide procedures whereby teachers can make referrals to
the counseling office. Y U N ++ + - --
… counsel individual students. Y U N ++ + - --
Missouri Comprehensive Guidance Programs: Linking School Success with Life Success 134
School Counselors (providing System Support Services to other programs)... Occurren ce Helpfulness
… maintain ongoing efforts for better integration of guidance and counseling
program goals with district goals. Y U N ++ + - --
… help in informing school community of the program mission,
purposes, and services available. Y U N ++ + - --
… manage the guidance and counseling program competently and appropriately. Y U N ++ + - --
... demonstrate professionalism. Y U N ++ + - --
… guide individuals and groups of students through the
development of educational and career plans. Y U N ++ + - --
… consult with parents to enhance their relationship
with their children. Y U N ++ + - --
… consult with teachers to enhance their work with students. Y U N ++ + - --
… coordinate with community personnel to bring together
resources for students. Y U N ++ + - --
… use an effective referral process for assisting students and
others to use special programs and services. Y U N ++ + - --
… participate in the standardized testing program. Y U N ++ + - --
… interpret tests and other appraisal results to students. Y U N ++ + - --
… adhere to ethical, legal)and professional standards. Y U N ++ + - --
ONE FINAL THOUGHT:
If you could make one change that would most improve the guidance and counseling program, what would it be?
_______________________________________________________________________________________________________________
_______________________________________________________________________________________________________________
Missouri Comprehensive Guidance Programs: Linking School Success with Life Success 135