Youth Questionnaire (Age 14 – 18) - Foster Care Review Office

Youth Questionnaire (Age 14 – 18)

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User Information

Thank you for taking the time and answering our questions about how you are doing and the care you are receiving. What is reported in this questionnaire may be included in the local board’s report to the legal parties to the case. Your input will provide your personal view and is important for us to hear.

Name of Youth*

First Last

Address*

City State / Province / Region

Board #: If Known

Meeting Date: If Known

Tell us how you are doing

What do you like to do for fun and who is included in these activities?

What activities would you like to be or already are involved in?

Do you have a helpful or trusted adult that you can call when needed? This should be someone that you’d like to have in your life on a long term basis.

Placement

How do you feel about the home you are currently living in?

Besides home, where would like to be/live?

Education

What is something you like and dislike about school?

Which life skills do you feel you still need to learn?

Where do you see yourself in ten years?

Visitation

What do you like and dislike about visits with your parent(s)?

Who would you want to see that you currently are not able to?

Services

What services are you receiving?

Have you and your case manager developed a plan for when you turn 19 and discussed the Bridge to Independence program?

Contacts from people on your court case

How do you feel your case is progressing?

You have a right to be at family team meetings where your case is discussed. Are you attending these meetings if those are occurring, and do you feel heard during the meetings? Are you interested in attending these meetings if you are not?

Your guardian ad litem represents your best interest in court. What are some things that you like and/or dislike about your GAL?

You have a right to be at your court hearings. What has been your experience with this?

Additional Information

Is there anything else you would like us to know?

Although not required, if you would like to submit any additional related documents you may do so below:

Accepted file types: pdf, xls, xlsx, doc, docx, jpg, png, gif, tiff, txt, Max. file size: 64 MB.

By returning this document, you confirm that the information is true and accurate and that you understand this information may be shared with the legal parties to the case.