Cornwall and Isles of Scilly Attachment Mentoring Carer Feedback Form

You are invited to participate in a short survey. Your input is important to us and will help inform and improve our service.

The information you provide will be treated confidentially by professionals involved in the Attachment Mentoring Scheme.

Your information/feedback may also be anonymised and used to evaluate our service. This may be done in collaboration with placement students from the University of Plymouth.

To view our privacy policy please click here

Name of carer/s:

Maximum 255 characters

0/255

Name of mentor:

Maximum 255 characters

0/255

Start date of arrangement:

End date of arrangement:

Are you happy for your feedback to be shared with your attachment mentor and for them to use this in their fostering review?

* required

Yes

How often have you had contact with your attachment mentor?

* required

Select option

How often did you want to meet?

* required

Maximum 5,000 characters

0/5,000

“Using a scale of 1 to 5 (where 1 indicates ‘not useful’ and 5 indicates ‘very useful’), how would you rate the usefulness of your attachment mentoring sessions?”

* required

Statement 1

“Using a scale of 1 to 5 (where 1 indicates ‘very difficult’ and 5 indicates ‘very useful’) please rate these statements.

How easy did you find it to make any changes recommended?

How confident do you feel using therapeutic parenting/PACE techniques?

10.

Was the role of your attachment mentor clear to you from the start?

* required

Yes

11.

Has meeting with your attachment mentor had an impact upon your own wellbeing/feelings of stress/worries about caring for your child?

Maximum 5,000 characters

0/5,000

12.

What methods have you used when in contact with your attachment mentor?

* required

Face-to-Face

Video Call

Text

Phone Call

Written Letters

13.

What impact has the scheme had upon your relationship with the child/young person you are caring for?

Please note any examples of changes in relationship

Maximum 5,000 characters

0/5,000

14.

Have there been any difficulties or barriers to accessing mentoring?

* required

Yes

15.

Do you think there is anything that could be done differently to improve the scheme?

* required

Maximum 5,000 characters

0/5,000