EVSU-1-ACA-16.

037-0029
Revision No. 00

Republic of the Philippines

EASTERN VISAYAS STATE UNIVERSITY
Tacloban City
-oOo-

STUDENT SERVICES DEPARTMENT

Office of the Guidance Services

NEEDS ASSESSMENT QUESTIONNAIRE

Profile
Name (optional): ________________________________________

Course: __________________

Age:
_______
Lives With: ( ) Single Mother
Highest Educational
Status: _______
( ) Single Father
Attainment of Parents:
Gender: _______
( ) Two Biological Parents
Elementary: Level( ) Graduate( )
Ordinal Position in the Family: ______
( ) Parent with Stepparent
School: Level( )Graduate( )
Place of Origin: __________________
( ) Relatives
Level( ) Graduate ( )
City ( ): _________________________ Municipality ( ): _____________
_________________
Family Monthly Income:
( ) Php 10,000 & below
( ) above Php 10,000

High
College:
Others:

EVSU-1-ACA-16.037-0029
Revision No. 00

Republic of the Philippines

EASTERN VISAYAS STATE UNIVERSITY
Tacloban City
-oOo-

STUDENT SERVICES DEPARTMENT

Office of the Guidance Services
Student Instructions: The Office of Guidance Services envisions developing and providing programs
that meet your needs and determine how well you believe the school counselors are meeting your
needs. Please be totally honest in your responses and help us identify which needs/concerns/problems
you are experiencing or have experienced should be given priority in the design of the Comprehensive
Guidance Program. The answer and information you will be sharing through this survey will be
safeguarded and given due confidentiality. Thank you for your help. PLEASE READ EACH
STATEMENT AND CHECK THE MOST APPROPRIATE ANSWER CHOICE FOR YOU.
PERSONAL-SOCIAL Concerns:

SELF-DEVELOPMENT
1.) Self-awareness:
better
understanding
of
ones
personality, feelings and choices.
2.) Coping from excessive worry about the future
3.) Understand and learn how to manage stress
4.) Know how to achieve life satisfaction
5.) Learn how to manage emotion in sorrowful situations
6.) Develop positive self-image, self-esteem and selfconfidence
7.) Learn how to manage your anger
8.) Overcome self-defeating and negative thoughts
9.) Learn how to develop positive mindset
10.)Improving my communication skills (writing, reading,
speaking)
11.) Identify my strengths and weaknesses
12.) Improve my self-representation: appearance,
cleanliness, hygiene
13.)Understanding & combating sleep deprivation
14.) Understanding emotions in different situations
15.) Recognize my fears/worries and get rid of them
16.) Learn problem solving, goal setting and decisionmaking skills
17.) Improve my leadership potential and style
18.) Develop self-discipline and self-control
19.) Develop positive values and attitude
20.) Learn how to forgive others, overcome self-blame &
hatred
FAMILY & SOCIAL RELATIONSHIP
1.) Improve relationship with family
2.) Learn how to cope with loses (parents separation,
abandonment, death, overseas parents/relatives)
3.) Coping with difficulty accepting stepparent, stepsister
& stepbrother
4.) Learn to understand parents extramarital affair and
deal with its effect too you and your family
5.) Learn how to deal with sibling rivalry
6.) Develop the ability to openly discuss problems to
parents and strengthen communication towards them
7.) Help parents better understand and effectively handle
their children bridging the generation gap
8.) Learn how to cope with the expectations and demands
of the parents and relatives
9.) Cope with adjustment and obtain strategies in dealing
with financial and other challenges in the family
10.)Improve peer relationship
11.)Learn to become open to discussion concerning your
values, feelings, experiences & thoughts to others
12.)Develop social skills and meaningful relationship to
others
13.)Understand feelings of nervousness & shyness during
social situations and gatherings
14.)Experience how to be accepted and appreciated by
others

Highly
Neede
d

Moderat
ely
Needed

Somewh
at
Needed

Not Needed

EVSU-1-ACA-16.037-0029
Revision No. 00

Republic of the Philippines

EASTERN VISAYAS STATE UNIVERSITY
Tacloban City
-oOo-

STUDENT SERVICES DEPARTMENT

Office of the Guidance Services
15.)Participate and feel the belongingness by joining
school organizations
16.)Value membership in fraternities and sororities
17.)Learn how to properly handle boy-girl relationship
18.)Learn how to understand my own identity and sexual
preference
19.)Learn how to understand & accept the LGBT people
20.)Learn how to understand, accept & support persons
with different abilities (PWDs)
21.)Learn how to respect and value the opinion and
choices of other people
22.)Learn how to be positively assertive and opinionated
yet less dominating in every conversation and social
situation
23.)Learn how to avoid and deal with conflicts with family,
friends and other people (conflict management)
24.)Feel safe inside the school community
25.)Understand and apply the concepts of bullying, its
causes/effects and how we can support in developing
a friendly school environment
MORAL/SPIRITUAL CONCERNS
1.) Better understand all important information relating to
drug abuse, alcohol abuse so as smoking. Learn what
to do when you or any family member becomes
alcohol, smoking and drug dependent.
2.) Learn more about all types of abuse (physical, sexual,
verbal, emotional and psychological abuse) and how to
deal with an abusive situation.
3.) Learn important knowledge concerning sexual
harassment and discrimination how to make use of
them in real life/critical situations
4.) Know how to decide and act properly when faced with
morally challenging situation (life and financial crisis,
calamities, disasters)
5.) Learn how to value and respect your schoolmate and
fellowmens culture, religion and other form of
individual differences.
6.) Enhance my spiritual understanding and strengthen
my faith in God
7.) Understand
the value of life and the moral
responsibility not to intentionally harm a person,
animal or any living being
8.) Understand better the pressing issue of suicide, its
causes and effect and how we can make use of them
during personal dilemma so as in helping other people
9.) Recognize the moral and overall risk of pre-marital sex
and teenage pregnancy. Learn relevant information
concerning the topics mentioned including potential
risk to sexually transmitted diseases, use of
contraceptive etc.
10.)Acquire all necessary information about abortion
11.)Understand Gay and Lesbian relationship and marriage
and your perception of the Filipino family.
12.)Recognize the impact of lying and stealing to your
moral conscience

ACADEMIC Concerns:

1.) Proper guidance and educational placement in making

Highly
Neede
d

Moderatel
y
Needed

Somewh
at
Needed

Not Needed

EVSU-1-ACA-16.037-0029
Revision No. 00

Republic of the Philippines

EASTERN VISAYAS STATE UNIVERSITY
Tacloban City
-oOo-

STUDENT SERVICES DEPARTMENT

Office of the Guidance Services
significant career choices in high school or in college
2.) Adequate assistance in my transition and adjustment
from high school to college or elementary to high school
3.) Understand the school policies, rules and regulations of
the school and familiarize the key officials, faculty
members, different offices and services and other
relevant information I would need to know in order to
maximize my academic learning
4.) Identify my learning style and the multiple
intelligences that I have
5.) Develop all my study habits and effective study
strategies (Goal Setting, thinking skills, memorization
techniques, note-taking, avoiding procrastination)
6.) Develop my motivation and my perception towards the
value of education)
7.) Learn how to avoid procrastination and concentrate to
studies
7.) Create available academic support group (study
buddy)and peer counseling group
8.) Learn how to work with classmates on projects and
group activities
9.) Improve teaching effectiveness of teachers
10.) Develop a conducive learning environment and
professionalism among teachers (teachers tardiness,
absenteeism, unjust treatment and grading,
submission of grades on time)
11.) Learn how to openly discuss difficulty on the subject
to the teachers
12.) Enhance my reporting, presentation and research
skills
13.)Develop student-teacher relationship; the teacher
showing better support and encouragement to the
student in succeeding academically
14.) Improve school facilities like internet room, laboratory
room, library etc.
15.) Learn how to concentrate on studies and avoid
procrastination
16.) Availability of scholarship and other financial
assistance to most students
17.) Learn to deliver my duties and responsibilities as a
student of the university
18.) Fair and proper treatment to students regarding
school uniform
Particularly the security regards
19.) Proper treatment to students whenever we approach
offices to
avail services (registrar, cashiering, medical,
accounting, library
services etc.)
20.) Improve the effectiveness and fastness of the
processing and
services in all offices (enrolment, requesting of
credentials and
other academic documents, reimbursement, purchase
request,
counseling, testing and scholarship etc.)

CAREER-OCCUPATIONAL Concerns:

1.) Discover for what work/occupation my talents and

abilities could be useful
2.) Discover in what work and occupation my interests

Highly
Neede
d

Moderatel
y
Needed

Somewh
at
Needed

Not Needed

EVSU-1-ACA-16.037-0029
Revision No. 00

Republic of the Philippines

EASTERN VISAYAS STATE UNIVERSITY
Tacloban City
-oOo-

STUDENT SERVICES DEPARTMENT

Office of the Guidance Services
and inclinations can be satisfied
3.) Determine what work/occupation would best suit my
personality traits and characteristics
4.) Help me discover what skills I need to develop for my
chosen occupation
5.) Help select college/university and the program or track
that is most suitable for me to pursue for High School
student or in college
6.) Learn more about the Philippine Job Market; what are
the indemand, hard-to-fill job and emerging industries in the
Philippines
nowadays
7.) Develop key skills competencies (communication skills,
power
dressing,
personality
development)
in
preparation to work
8.)
Improve my employability by learning
important resume making and successful interview
strategies.
9.) Assistance from the university in getting the chance to
have a job
after college in the local, national community or even
abroad
10.) Be immersed in a course relevant on the job training.
Wherein I
can develop my core competencies as an IT,
Engineering,
Entrepreneurship, Interior Design major and the rest
of the courses
programs in the university
11.) Develop professional work ethics and positive job
attitudes (initiative, punctuality, dedication to work,
honesty etc.)
12.) Opportunity to discuss difficulty, challenges and
positive experience
during the on-the-job training in order to process its
impact on
my professional growth, emotional, psychological
well-being and all
aspect of my development
13.) Increase number of outcome based trainings and
seminars relevant to the improvement of core skills
and competencies of my course and all other courses
within and outside the university (example hands on
and accredited trainings from TESDA, DOLE etc.)
14.)Increased knowledge and access to job search engines
and programs for easier job hunting scheme (e.g.
PESO Skills registration system, Phil-Job Net, Jobstreet
etc.)
15.)Increase tracking and monitoring scheme of the
previous graduates in terms of their life and career
status after finishing their four to five years academic
term in the university. Continued assistance and
opportunity for the students even after graduation

COUNSELING Concerns:

1.) Availability of any approachable and concerned

personnel I can go to with a concern/problem
2.) To feel comfortable talking to the school guidance
counselor about academic and personal concerns. The

Highly
Neede
d

Moderatel
y
Needed

Somewh
at
Needed

Not Needed

EVSU-1-ACA-16.037-0029
Revision No. 00

Republic of the Philippines

EASTERN VISAYAS STATE UNIVERSITY
Tacloban City
-oOo-

STUDENT SERVICES DEPARTMENT

Office of the Guidance Services
confidentiality of our conversation should be assured.
3.) Learn more about the school counseling services
4.) Availability of the counselors whenever a need arise
most
Importantly during emergencies and urgent situation.
Availability
of emergency hotlines should be extended to students
5.) Availability of a counselor that is knowledgeable,
effective and full
of positive values

Prepared by:
MARIA THERESA M. HERBOLINGO, LPT
OIC Head, Office of the Guidance Services
321-4692/09985324625

EVSU-1-ACA-16.037-0029
Revision No. 00

Republic of the Philippines

EASTERN VISAYAS STATE UNIVERSITY
Tacloban City
-oOo-

STUDENT SERVICES DEPARTMENT

Office of the Guidance Services