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* 1. Child's Name

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* 2. Court Date:

Date

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* 3. Please rate the service you received from the following staff (if you interacted with them).

  Poor Unsatisfactory Satisfactory Good Excellent
Bob Siecke, Court Coordinator
Court Clerk
Judge
Class Instructors
Community Service Staff

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* 4. Please rate the effectiveness of the Teen Choices class.

  Poor Unsatisfactory Satisfactory Good Excellent
Teen Choices Class

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* 5. How effective were the following activities in helping your child learn from their mistake?

  Not effective/Helpful Effective/Helpful Very Effective/Helpful
Court Interview/Meeting with Court Coordinator
Court session (judges stories, advice, sentence, etc.)
Serving as a juror
Community Service Activity
Letter of Apology
Essay
Teen Choices Class
Paying Restitution
Court Fines
Supervision Period

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* 6. The letter and information I received in the mail about participating in Court was clear and informative.

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* 7. I was seen in a timely manner for my pre-court interview.

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* 8. The Teen Court program was explained to me by Court staff in a clear manner therefore I had a good understanding of the process prior to my Court hearing.

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* 9. The judge’s sentence was fair.

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* 10. What did you like best about the program? (Choose all that apply.)

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* 11. Is there anyone you would like to thank for excellent service? If yes, please list their name(s) and briefly describe why.

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* 12. Additional comments or suggestions:

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