Closing survey for Parent/Caregiver

Your feedback helps us to make PYS a better place. Your answers are confidential. You will not be identified and your feedback will be combined with others. Please speak your mind!

Question 1. Age of child/ youth

Question 2. How long has your child/youth been receiving services from PYS (not including any time spent on a wait list)?

Question 3. My child/youth has participated in the following services (please check all that apply):

Question 4. Please check the box that best describes your answer below:

Question 5. Looking back on your experience on a whole, what has been the most helpful thing about PYS’ services?

Question 6. What would improve the services at PYS?

Question 7. If my child/youth were to need further help in the future, I would return to PYS.

Question 8. Without anyone knowing who you are, may we use your comments in our reports and/or our printed materials?

Question 9. Want to stay connected and/or talk about your feedback? Leave us your phone number and/ or email and we will keep you in the loop/contact you!

Question 10. I would like to stay in the loop, please send me updates on what’s going on at PYS!

Question 11. I would like to talk about my feedback in more detail, please contact me!

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