Student/Parent Name (Optional): ___________________          Grade:_________ Adams Middle School Guidance Department End of the Year Feedback Form (PARENT) Do you know who your child’s Guidance Counselor is? Yes                                             No Do you know any Guidance Counselor? Yes                                             No Did you feel supported or helped by a Guidance counselor in dealing with your child’s academic challenge? Yes                     No                       N/A Did you feel supported or helped by a Guidance counselor in dealing with your child’s social or personal challenge?    Yes                       No                       N/A Check the things your child’s Guidance Counselor can or has helped your child with during his/her time at Adams?   His/her schedule         Help if he/she is struggling academically Help if he/she is struggling emotionally Help if he/she is in a difficult family situation Help if he/she is struggling in a class Help if he/she is struggling a with friend and peers Help if he/she is struggling with a health issue Answering questions from family/parents about school Exploring your child’s career interests Other:_________________________________________________ Turn Around….. More on back              How strongly do you agree or disagree with the following statement: My Child’s Guidance counselor makes time for me & my child if he/she needs help. Circle one Strongly Agree Agree Disagree Strongly Disagree I find it easy to talk to my child’s Guidance Counselor. Circle one Strongly Agree Agree Disagree Strongly Disagree I am satisfied with the level of support I get from my child’s Guidance Counselor. Circle one Strongly Agree Agree Disagree Strongly Disagree I feel supported when my child is dealing with an academic challenge. Circle one Strongly Agree Agree Disagree Strongly Disagree I believe that my child’s Guidance Counselor can help my child deal with personal issues. Circle one Strongly Agree Agree Disagree Strongly Disagree My child feels as a part of Adams Middle School. Circle one Strongly Agree Agree Disagree Strongly Disagree My child has a trusting relationship with at least one adult at school. Circle one Strongly Agree Agree Disagree Strongly Disagree I feel my child is physically safe on campus. Circle one Strongly Agree Agree Disagree Strongly Disagree Please print complete. You may remain anonymous. Send by mail to: Guidance Department 10201 N Boulevard Tampa, Fl 33613