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Social Work Feedback Form
Please fill the form below
Name:
First Name
Last Name
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Social worker’s name:
First Name
Last Name
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Did your social worker explain why they were visiting? Scale 10 (the social worker was very clear) – 0 (not at all):
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Comment:
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Did your social worker listen to you? Scale 10 (very much) – 0 (not at all):
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Comment:
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Were your views included in your plan?Scale 10 (very much) – 0 (not at all):
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Comment:
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4) Do you feel your social worker helped you?Scale 10 (very much) – 0 (not at all):
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Comment:
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Did you have more than one social worker:
Yes
No
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Did this make a difference:
Yes
No
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If yes, why:
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Was it easy to contact and speak with your social worker?Scale 10 (it was very easy) – 0 (not at all:
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Comment:
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