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SAC Needs Assement
School
Are you currently enrolled in school full time?
Yes
No
How many days do you attend school?
*
Every Day
1-2 Days
3-4 Days
I do not attend school
Free Time
Employment
Have you ever had a job?
Yes
No
Relationships
Family
Drugs
Have you taken a health class at school?
Yes
No
Do you think using drugs is bad?
Yes
No
Sometimes
Do you think the grown-ups in your life take pretty good care of you?
Yes
No
Sometimes
Do you feel safe at school?
Yes
No
Sometimes
Social Skills
Your Company Name
Facebook
Twitter
Linkedin
Google+
A brief intro is always great. It's Helps people to identify your company.
Address
[email protected]
800-555-0101
yoursite.com
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