Dear student,
I would like to request your participation by filling out this needs assessment inventory to identify the
guidance services that the College will offer to cater to your personal-social, educational and psychological needs.
Information that will be provided will be kept confidential.
Your objective assessment of your needs is highly appreciated.
KATHERINE TERESA B. CORRALES
OJT
NEEDS ASSESSMENT INVENTORY
Name (optional): _______________________________ Age: ____________
Year & Section: ________________________________ Gender: _________
Direction: The following are some of the needs experienced by people your age. Identify which needs you experience
and whether you believe the Guidance Program should help you with these needs. put a check mark [ / ] that indicates
the extent to which it is important to you.
1- Not Important at All
2- Somewhat Important
3- Moderately Important
4- Very Important
5- Extremely Important
Self- Development 1 2 3 4 5
1. Know and understand myself better
2. Get rid of my fears
3. Manage my time
4. Plan my life
5. Develop self-confidence
6. Discover and develop my talents
7. Improve my appearance
8. Learn more about the whole outside
9. Get rid personal vices/uncontrollable habits (drugs, alcohol, stealing, violence, smoking,
sex, gambling, computer addiction)
10. Develop/Improve my decision-making/problem solving skills
Family Relationship 1 2 3 4 5
11. Improve my relationship with my parents
12. Improve my relationship with my siblings
13. Manage siblings in a parentless home
14. Develop the ability to discuss problems with parents
15. Balance between warring/separated parents
16. Teach parents how to handle their children effectively
17. Help parents manage stress/marital problems
18. Live with relatives
19. Cope with the expectations/demands of parents
20. Cope with a step parent/step sibling
Social Relationships 1 2 3 4 5
21. Develop skills for starting/maintaining friendships
22. Make myself attractive to others
23. Develop the ability to avoid being taken advantage of
24. Know how to chose friends
25. Get rid of social situations
26. Settle quarrels with/among friends
27. Handle boy-girl relationship
28. Handle peer pressure
29. Deal effectively with bullies
30. Find acceptance and belongingness from others
Studies 1 2 3 4 5
31. Understand my lessons
32. Find time to finish assignments and socialize
33. Develop confidence in recitations
34. Talk to teacher about difficulty in understanding lessons
35. Balance between work at home and studies
36. Work with classmates on projects
37. Cope with financial demands of subjects
38. Develop professionalism among teachers
39. Improve teaching effectiveness of teachers
40. Develop fluency in English communication
Specific Personal/Social issues 1 2 3 4 5
41. Learn more about physical abuse
42. Learn more about sexual abuse/harassment
43. Learn more about emotional and verbal abuse
44. Handle experiences of abuse (physical, sexual, emotional, verbal)
45. Handle alcoholic/drug-dependent family member
46. Handle effects of disaster/crisis/calamities
47. Cope with losses (separation, abandonment, death, overseas work)
48. Deal with parents’ extramarital affairs
49. Handle adjustments caused by financial crises
50. Learn more about keeping oneself physically and mentally healthy
