GUIDANCE ANND COUNSELING OFFICE
GROUP COUNSELING FORM
Name: ___________________________ Date: ___________
Year & section: ___________
Dear Students: Choose only one issue/concern (if possible) that your group prefers to be discussed during the group counseling session. Encircle the letter of your choice and rank the corresponding minor topics according to your preference. (1 as the most important and 5 as the least important)
a. School Adjustment
____Study habits ____Relationship with classmates
____Time and stress management ____Relationship with teachers
____Learning styles Others____________________
b. Intrapersonal Relationship
____Self-Esteem/Confidence ____Value and Belief System
____Inferiority Complex ____Self
____Identity Crisis Others____________________
c. Interpersonal Relationship
____Group Work ____Establishing Rapport
____Socialization ____Peer Pressure
____Conflict Management Others____________________
d. Emotional Issue
____Love and Courtship ____Low Frustration Tolerance
____Anxiety and Depression ____Emotional Instability
____Frustration and Rejection Others____________________
e. Family Problems
____Sibling Rivalry ____Relationship with mother/father
____Financial Difficulty ____Parents’ Relationship
____Living Condition Others____________________
f. Career Guidance
____Uncertain with your course ____Career Path
____Job Preference Others____________________
What do you usually do if you have problems?
____Divert the problem ____Immediately solve it
____Ask the help /opinion of others ____Share it with your