McMurry University | Counseling - Need for Services
Student Affairs

Need for Services Self-Assessment

Please fill out completely. This information will be used to make referrals to the appropriate McMurry office. All information is confidential. Your peer leader will receive confirmation that you completed the assessment but not the results of the survey.

First Name Last Name Maiden Name

Local Address City State Zip

E-mail Local Phone Peer Leader

Please rank your need for all of the following services according to the following scale:
1-No need; 2-Occasional need; 3-Moderate need; 4-Definite need

Tutoring
1
2
3
4
Math/Science
Writing/English
Study Skills
Other, Please specify subject:

Counseling
1
2
3
4
Personal Counseling
Career Counseling
Disability Services Counseling
Financial Aid Counseling

Support Groups
1
2
3
4
Depression/Anxiety
Alcohol Use/Abuse
Self-Esteem
Eating Disorders
Dating and Relating
Survivors of Abuse
First Generation College



  For more information, contact:
Counseling & Career Services
Old Main, Room #106
(325) 793-4880