Have Your Say!

(Children & Young People who use Social Services)

Please let us know how you feel about Social Services in Caerphilly County Borough?

Please fill in this questionnaire to the best of your ability as it will help us improve Social Services for you and other young people.  You could ask an adult to help you if you need them to explain something.

If you mention anything that states you or someone else is in risk of harm, we will have to do something about it.

Please submit your completed questionnaire before 28 February 2011 and you will have the chance of winning a £25 Argos voucher (there are 3 to be won).  Your questionnaire answers will be confidential but we will need you to include your e-mail address, name and address if you wish to be entered into the Argos voucher draw.

Thank you for your help

Getting help

Do you know how to get information about Social Services?		Yes
		No

Do you find it easy to contact your social worker by :
	Yes		No
e-mail
text
phone
Have you tried to contact your Social Worker?
Do you know how to contact your Social Worker?

Does your social worker make a special visit to see you if you ask?		Yes
		No
		Never asked
		Don't know how to ask

Does your social worker see you on your own?		Yes
		No

Does your social worker see you away from the place you live?		Yes
		No

Does your social worker listen to what you have to say?		Yes
		No

Planning and reviewing

Are you told about the decisions being made about your life?		Yes fully
		Yes in part
		No
		Not sure

Are you asked about what you would like to happen in your life?		Yes fully
		Yes in part
		No
		Not sure

When meeting with an adult, such as a Social Worker, Teacher, Health Worker, about issues involving you :
	Yes		No
Are you given the chance to your say?
Do you feel listened to?
Have you been to any meetings

How did we do?

How would you describe the service you get from Social Services?		Very good
		Good
		Poor
		Very poor

Please write your own comments about what you think about the support you may or may not have received from Social Services.

What could Social Services do better?

Finally

Would you like to have the chance to tell us more about the service you receive from your social worker?		Yes
		No

Please provide your contact details (name, address, telephone number and e mail) in the box below.

Argos Voucher Prize Draw

Would you like to be entered into the Argos Voucher draw?
	Yes
	No

Please provide your e-mail address, name and home address in the box below.

WE WOULD BE GRATEFUL IF YOU COULD COMPLETE THE FOLLOWING PLEASE NOTE, THESE ARE OPTIONAL QUESTIONS ONLY

How old are you?		8 - 10
		11 - 15
		16 +

Are you :		A boy
		A girl

Do you have a disability?		Yes
		No

WHAT IS YOUR ETHNIC GROUP? Please tick the appropriate box to indicate your cultural background.

White		British
		English
		Irish
		Scottish
		Welsh

Any other white background, please state

Multi-Ethnic Heritage		White and Black Caribbean
		White and Black African
		White and Asian

Any other Multi-Ethnic Heritage background, please state

Asian or Asian British		Indian
		Pakistani
		Bangladeshi

Any other Asian background, please state

Black or Black British		Caribbean
		African

Any other Black background, please state

Chinese or other ethnic group		Chinese
		Other

Please state

Your Information and You

For your information : Just to let you know, it is your right to know about information that is written about you.  If you would like more further details with regard to this, please contact the Information Officer, Caerphilly County Borough Council, Ty Penallta, Parc Tredomen, Ystrad Mynach, Hengoed, CF82 7PG or you can contact 01443 864320.

Thank you for taking the time to complete this survey.