Wraparound Satisfaction Survey

Date: ______

Your role:_____Parent/youth/family member/friend
_____Professional Support
_____Other: ______/ Strongly Agree / Agree / Disagree / Strongly Disagree / Does Not Apply
I understand the wraparound process and my role in the process.
This team has a balance of professional and nonprofessional team members.
The plan utilizes the strengths (skills, talents, and assets) of the family, youth and other team members.
The team developed a realistic plan based on the preferences of the family, including action steps to lead the family to their long range vision.
The safety of the child, family, and community was discussed and the plan developed addresses any safety concerns.
To this point, participating in the wraparound process is strengthening the family.
The service coordinator obtained everyone’s input.
The service coordinator kept the meeting going.
I feel that my input and contribution to this team was respected and valued.
Did the Service Coordinator keep appointments?
Did the service coordinator manage the plan, i.e. monitor progress between meetings and update the plan as needed?
Did the service coordinator schedule the meetings at a frequency that allowed the process to be helpful?
Were Releases of Information sent out in a timely manner?
Was the service coordinator willing to be flexible regarding time and location of meetings?
Was the service coordination process focused on finding solutions (vs. discussing the problems)?
Did the service coordinator demonstrate leadership through the process?
Did the service coordinator illustrate knowledge of available resources?
Did the service coordinator illustrate a willingness to consider “out-of-the box” solutions to problems?
Was the service coordinator proactive in identifying potential problems either between meetings or in the future and working with the team to address the concern?
Was the service coordinator respectful and clear in her written and verbal communication?

Wraparound Survey

  • Can be returned in SASE or done via computer.
  • Surveys returned to Service Coordination Supervisor/Administrative Agent at

Tuscarawas County Family and Children First Council

PO Box 1017,

New Philadelphia, Ohio 44663

  • Purpose of survey is to determine buy-in and effectiveness of wraparound process

Dear Family or Professional,

At some point in time over the past year, you have participated in the Service Coordination Process provided by the Tuscarawas County Family and Children First Council. The Service Coordination Committee is interested in gathering input from the families and professionals who have been a part of the process so that we can improve and provide a process which is responsive to the families and agencies in our communities.

Attached you will find a survey regarding the Family and Children First Service Coordination Process. We would like to request that you complete the survey and return it to us no later than July 15, 2012. Your input is very valuable to the process and we want to thank you in advance for taking the time to complete the survey.

Should you have any questions, please contact either, Robin Bowdish, Council Manager, or Natalie Bolon at 330-343-2286. I look forward to the feedback you provide to do a better job for the families and youth of Tuscarawas County.

Sincerely,

Rindy Brace, MEd., LSW

Service Coordinator