<UNIQUE.ID>

Young People’s Feedback for Review

Name
Living with
Dates From
Do you feel included in the family you live with?Tick one box

Yes No
Tell me about things you do together as a family that you enjoy?
Is your carer kind to you?Tick one box

Yes No
Do you like your bedroom? Tick one box

Yes No
What do you like about your bedroom? Is there anything you do not like?
Is there anything you would like to change within your house?
Yes /  / No / 
If YES, what would this change in your household be?
What are your favourite foods?
Does your carer cook these for you and do you enjoy them?Tick one box

Yes No
Do you choose your leisure activities (swimming, dance, cinema, bowling, Scouts)?Tick one box

Yes No
Do you have a choice of things that you can do on the weekend?Tick one box

Yes No
Do you have friends around to the house?
Yes /  / No / 
If no, would you like friends to come around to the house?
Yes /  / No / 
Do you get weekly pocket money?
Yes /  / No / 
And what do you spend it on?
Do you feel you have enough clothes and shoes?

Yes No
Do you get to help choose your new clothing?

Yes No
Have you got photos of people of people who are important to you?

Yes No
Have you got a place to keep things that are special to you safe (certificates, photos of days out, special presents and cards)?

Yes No
Do you know how to access the records that Fostering People keeps about your life?
Yes /  / No / 
Do you feel that you can talk to people about your experience of living in foster care?

Yes No
Are there things that stop you doing this? Please explain
If you wanted to make a complaint would you know who to speak to?
Yes /  / No / 
What is your Social Workers name?
When you have a question for your Social Worker do you always get an answer?

Yes No

Do you understand your Care Plan?
Yes /  / No / 
Are you involved in making arrangements for your future?
Yes /  / No / 
Do you feel safe and know who to speak to if you are being bullied for example bullied online?
Yes /  / No / 
Have you spent time with any other carer (days or night)?
Yes /  / No / 
Did you meet the carer before you spent time with them?
Yes /  / No / 
What was the time / days you spent with them like?

Yes No

Please return in the envelope provided.

You do not need to show your foster carer/s this form but if you do say something of concern,

we may need to talk to you or your social worker about this.

Page 1 of 7