Family counselling exit survey
Exit this survey
1.
1
. What is your relationship to the young person seeking support from Youth Focus?
What is your relationship to the young person seeking support from Youth Focus?
Parent
Grandparent
Caregiver
Relative
Friend
Other (please specify)
2
. How did you hear about Youth Focus?
How did you hear about Youth Focus?
Referred by a Youth Focus counsellor
Referred by a School Psychologist
Family
Friend
Other
Other (please specify)
3
. Name of the family counsellor who you worked with
Name of the family counsellor who you worked with
4
. Name of the youth counsellor who worked with the young person (if applicable)
Name of the youth counsellor who worked with the young person (if applicable)
5
. Please tell us how helpful you found the family counselling you received at Youth Focus
Please tell us how helpful you found the family counselling you received at Youth Focus
Not helpful
Somewhat helpful
Very helpful
Extremely helpful
Other (please specify)
6
. Communication within the family
Communication within the family
No improvement
Slight improvement
Significant improvement
Issue resolved
Other (please specify)
7
. Sense of coping with current difficulties
Sense of coping with current difficulties
No improvement
Slight improvement
Significant improvement
Issue resolved
Other (please specify)
8
. Do you feel that family counselling has reduced the young persons depression/low mood?
Do you feel that family counselling has reduced the young persons depression/low mood?
Not at all
Slight improvement
Significant improvement
Issue resolved
Other
9
. Do you feel that family counselling has reduced the young person self harming behaviour?
Do you feel that family counselling has reduced the young person self harming behaviour?
No improvement
Slight improvement
Significant improvement
Issue resolved
Other (please specify)
10
. Do you feel that family counselling has reduced the young persons risk of suicide?
Do you feel that family counselling has reduced the young persons risk of suicide?
No reduction
Slight reduction
Significant reduction
Issue resolved
Other (please specify)
11
. Could we have done anything differently to be more helpful to you?
Could we have done anything differently to be more helpful to you?
12
. Would you recommend the service to a friend?
Would you recommend the service to a friend?
Yes
No
Other (please specify)
13
. Please tell us why you finished family counselling with Youth Focus
Please tell us why you finished family counselling with Youth Focus
We completed counselling and no longer needed support
We found it hard to get to the sessions
Our circumstances changed
We didn't want to talk about the issues
We didn't find the service helpful
Other (please specify)
14
. Overall, what has been the thing that you found made the biggest difference to the young persons depression/self harming behaviour/suicidal thoughts?
Overall, what has been the thing that you found made the biggest difference to the young persons depression/self harming behaviour/suicidal thoughts?
15
. Finally, please describe the service in 3 words
Finally, please describe the service in 3 words
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