A list of common, rural high school issues were constructed based on reports of a local school counselor as well as clinical experience with students attending the local school over the course of a year. The list consisted of 16 potential issues. The scale was constructed on a Likert 1-6 Scale ranging from Strongly Disagree to Strongly Agree with the need for programming around the respective areas. The counselor at the school distributed them to all teachers and administrators for their ratings. Simple analyses indicated that the five highest needs were related to alcohol use, bereavement, relationships, healthy media, and diversity/multiculturalism. Other high priorities were bullying, emotional expression, drug use, and information on college/university life. This needs assessment informs many of the RPIC outreach projects ensued and in the works.