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Career Counseling Form
Part I: Personal Information
Full Name *
E-Mail *
Date of Birth *
Gender *
Select Anyone
Male
Female
Other
Grade *
Select Anyone
9th OR Lower
10th
11th
12th
Part II: Career Choices Questionnaire
1. I am encouraged by school authorities to take
courses related to my career development:
Select Anyone
Disagreed
Neutral
Agreed
2. I am willing to learn about future career
opportunities:
Select Anyone
Disagreed
Neutral
Agreed
3. Some courses in school are especially for girls:
Select Anyone
Disagreed
Neutral
Agreed
4. Teachers treat students equally:
Select Anyone
Disagreed
Neutral
Agreed
5. Teachers usually pay more attention to female
students:
Select Anyone
Disagreed
Neutral
Agreed
6. Teachers usually pay more attention to male
students:
Select Anyone
Disagreed
Neutral
Agreed
7. Teachers encourage students to choose
untraditional career choices also:
Select Anyone
Disagreed
Neutral
Agreed
8. There are support groups in the school for
students that encourage them to choose
untraditional career choices:
Select Anyone
Disagreed
Neutral
Agreed
9. I have the same career goal as my friends:
Select Anyone
Disagreed
Neutral
Agreed
10. I know what I want to do for my future career:
Select Anyone
Disagreed
Neutral
Agreed
11. I feel confident about reaching my career goals:
Select Anyone
Disagreed
Neutral
Agreed
12. My parents support me with my career choice:
Select Anyone
Disagreed
Neutral
Agreed
13. My male friends support me with my career
choice:
Select Anyone
Disagreed
Neutral
Agreed
14. My female friends support me with my career
choice:
Select Anyone
Disagreed
Neutral
Agreed
15. It is very important to be economically
self-sufficient and be independent:
Select Anyone
Disagreed
Neutral
Agreed
16. I enjoy exploring different things:
Select Anyone
Disagreed
Neutral
Agreed
17. I can be whatever I want to be:
Select Anyone
Disagreed
Neutral
Agreed
18. I can make my own decisions:
Select Anyone
Disagreed
Neutral
Agreed
19. I set my career goal by considering my abilities:
Select Anyone
Disagreed
Neutral
Agreed
Part III: Career Choices Questionnaire
Please check two (2) of the following statements that apply to you most:
I enjoy analyzing data using statistics
I would like to find solutions to economic problems
I am interested in art
I enjoy entertaining the audience
I am against injustice and inequality
I enjoy extreme sports
I enjoy video gaming
I like teaching
I would like to teach certain subjects
I would like to run a business
I want to help others
I want to explore unknown territories
Captcha Code : 60538
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