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)?
Less than 3 months
Less than 6 months
Less than 1 year
More than 1 year
Question 3. My child/youth has participated in the following services (please check all that apply):
Intake
Community Response Team
Brief services while on the wait list
Counselling
Unsure
Question 4. Please check the box that best describes your answer below:
N/A
1 (not at all)
2
3
4
5. Very much
The intake was helpful and oriented me to PYS services
N/A
1 (not at all)
2
3
4
5. Very much
The PYS office felt welcoming
N/A
1 (not at all)
2
3
4
5. Very much
I received services that were a good fit for me
N/A
1 (not at all)
2
3
4
5. Very much
PYS staff spoke with me in a way I understood
N/A
1 (not at all)
2
3
4
5. Very much
My family and child/youth got the help we wanted
N/A
1 (not at all)
2
3
4
5. Very much
PYS staff treated me and my child/youth with respect
N/A
1 (not at all)
2
3
4
5. Very much
I believe my child/youth worked on things that are important to them
N/A
1 (not at all)
2
3
4
5. Very much
Staff respected my child/youth’s identity, values and beliefs
N/A
1 (not at all)
2
3
4
5. Very much
I was comfortable talking to my child/youth’s counsellor about whether or not sessions were going well
N/A
1 (not at all)
2
3
4
5. Very much
Overall, I believe that the issues that brought my child/youth to PYS have improved as a result of PYS services
N/A
1 (not at all)
2
3
4
5. Very much
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.
Yes
No
If not, then why?
Question 8. Without anyone knowing who you are, may we use your comments in our reports and/or our printed materials?
Yes
No
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!
Yes
No
Question 11. I would like to talk about my feedback in more detail, please contact me!
Yes
No
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