YJLD feedback form

You were seen today by a member of our Youth Justice Liaison and Diversion (YJLD) Team at court, the police station or elsewhere. Your views on the service you received can help make our service better. We would be grateful if you could let us know what we did well and what we could do differently by completing this short and anonymous survey.

Please tell us how you found the session:

Question Title

* 1. What is your gender?

Male

Female

Other (please specify)

Question Title

* 2. Where were you seen?

Police station

Court

Youth offending team

Other (please specify)

Question Title

* 3. Your honest feedback is important to us. There are no right or wrong answers. For each question, please select the response that best describes what you think or feel.

	Not at all	Only a little	Somewhat	Quite a bit	Totally
Did you feel listened to?	Did you feel listened to? Not at all	Did you feel listened to? Only a little	Did you feel listened to? Somewhat	Did you feel listened to? Quite a bit	Did you feel listened to? Totally
Did you talk about everything you wanted to?	Did you talk about everything you wanted to? Not at all	Did you talk about everything you wanted to? Only a little	Did you talk about everything you wanted to? Somewhat	Did you talk about everything you wanted to? Quite a bit	Did you talk about everything you wanted to? Totally
Did the health worker explain everything clearly?	Did the health worker explain everything clearly? Not at all	Did the health worker explain everything clearly? Only a little	Did the health worker explain everything clearly? Somewhat	Did the health worker explain everything clearly? Quite a bit	Did the health worker explain everything clearly? Totally
Do you feel more supported following this session?	Do you feel more supported following this session? Not at all	Do you feel more supported following this session? Only a little	Do you feel more supported following this session? Somewhat	Do you feel more supported following this session? Quite a bit	Do you feel more supported following this session? Totally

Please share any additional comments or feedback

Question Title

* 4. Feedback is from:

Young person

Mother

Father

Carer/Guardian

Professional

Other (please specify)

YJLD feedback form

Question Title

* 1. What is your gender?

Question Title

* 2. Where were you seen?﻿

Question Title

* 3. Your honest feedback is important to us. There are no right or wrong answers. For each question, please select the response that best describes what you think or feel.

Question Title

* 4. Feedback is from:

* 2. Where were you seen?