Questions for 12 - 19 year olds

Thank you for completing this consultation paper for

your review, you can complete as much or as little as

you wish, please add any information or questions you

would like shared at your review, then e-mail the form

by clicking the SEND button at the end.

My first name is
My last name is
I am	a boy	a girl
Date of review
question 1
Were you asked if you would like to attend your review?
yes
no
don't know
question 2
Were you asked who you would like at your review?
yes
no
don't know
question 3
Were you asked where you wanted your review held?
yes
no
don't know
question 4
What decision would you like to be made at your review? Write your answer here…
question 5
If you have already had a review, have all the things agreed happened?
not had a review yet
yes
no
and I would like to add…
question 6
What has gone well for you since your last review?
not had a review yet
write your answer here…
question 7
What has not gone so well for you since your last review?
not had a review yet
write your answer here…
question 8
Do you know what the long term arrangements are for you?
yes
no
and I would like to add…
question 9
Would you like to say anything about the care you receive? Write your answer here…
question 10
Would you like to say anything about the people who look after you? write your answer here…
question 11
Do you have a good relationship with your social worker?
Yes
No
And I would like to add...
question 12
Is there anything you would like to change about where you are living? Write your answer here…
question 13
Are you keeping in contact with your family?
yes
no
and I would like to add…
question 14
Are you happy at school/college?
yes
no
and I would like to add…
question 15
Do you know everything you want about your family history?
yes
no
and I would like to add…
question 16
Young people leaving care should receive the support they need to succeed in moving towards independence. Have you been told what sort of support you will get?
Yes
No
And I would like to add...
Do you have an email address which a Review Manager could use to write to you?
Email
Please send this form to Peter Wilson by clicking on the send button below.