Time Limited Counselling Survey

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

Question 1. Please indicate your gender

Question 2. Please indicate your age

Question 3. Number of sessions and length of involvement at Peterborough Youth Services

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 I 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 contact information and we will keep you in the loop/contact you! Please leave your phone number or email

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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