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Prevention and Support Service Feedback
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Youth feedback form
Youth feedback form
1.
Do you feel your Youth Worker worked with you professionally?
* required
*
Yes
No
2.
Do you feel you have benefited from working with the PASS Youth Worker?
* required
*
Yes
No
3.
Do you feel you need further support?
* required
*
Yes
No
4.
Do you know where to access further support in future if needed?
* required
*
Yes
No
5.
What type of Intervention did your YW carry out with you? (Tick multiple if needed)
* required
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CSE & Internet safety
Personal Safety
Self-esteem/ Confidence
Peer pressure
Signposting
Bullying
Relationships
Activators, Behaviour & Consequences
Other
6.
How would you rate how helpful your YW was (please tick, 1 being no help at all and 10 being exceptionally helpful):
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1
2
3
4
5
6
7
8
9
10
7.
Did you achieve the desired outcomes for the issues they came to support you with?
* required
*
Yes
No
8.
Child’s/Young Persons opinions and comments on the YW (if applicable):
Submit