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Wishes and Feelings
Hey, thanks for sharing your views with us. This is a great way for you to get your voice heard. We will send your comments to your social worker for you.
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Tell us about yourself!
What is your name?
*
Your answer
Method of communication
*
Telephone call
Meeting in person
Other:
Required
If in person, detail the venue below
Your answer
Do you consent to this information being shared?
*
Yes
No
What are your hobbies/interests?
Your answer
What would you like to work as when you are older?
Your answer
What would you like to achieve in the next few months?
Your answer
Questions about your carers
How is your home life?
Excellent
Good
Poor
Very poor
Clear selection
What do you like about living with your foster carers (good things)?
Your answer
If you were having a problem who would you talk to?
Your answer
Do you receive weekly/monthly pocket money from your carer?
Yes
No
Sometimes
Clear selection
Carer questionnaire
How safe do you feel at home (1 not very safe - 10 very safe)
Not very
1
2
3
4
5
6
7
8
9
10
Very safe
Clear selection
Are your basic needs being met? (1- not at all - 10 yes)
No
1
2
3
4
5
6
7
8
9
10
Yes
Clear selection
Do you feel listened to at home? (1- not at all - 10 yes)
Not at all
1
2
3
4
5
6
7
8
9
10
Yes
Clear selection
Do your carers help you to do the things that you like to do? (1- not at all - 10 yes)
Not at all
1
2
3
4
5
6
7
8
9
10
Yes
Clear selection
Do you feel welcomed, supported and part of the family? (1- not at all - 10 yes)
Not at all
1
2
3
4
5
6
7
8
9
10
Yes
Clear selection
Do you see the people you want to?
Your answer
Do you stay at another foster carers house sometimes? If yes, tell us about them (their names, things you like, things that could be better)
Your answer
Questions about your education
How is school/ college?
Excellent
Good
Poor
Very poor
Clear selection
Do you attend any clubs in school or out of school?
Your answer
If you are struggling at school, who do you talk to?
Your answer
Any comments about school/ college?
Your answer
Questions about your social workers
Would you like your Social Worker to do anything differently?
Your answer
Do you know who your Independent reviewing officer (IRO) is and how to contact them?
Your answer
And finally....
Have you made a note of these numbers? They are a useful way for you to share your views.
Childline 0800 1111
KICup 07958 291 784
Were you alone when filling this out?
Yes
No
Signed by child/ young person
Your answer
Signed by caller/ visitor
Your answer
Comments
Your answer
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