Child (7-12) Satisfaction and Experience Form
Your ideas are important!

We want to know how you feel about the AGENCY, good or bad. Your answers are private.
1. People at the AGENCY are friendly.
2. The AGENCY has fun things to do.
3. It is easy to talk with my worker.
4. My worker listens to me.
5. I like my worker.
6. My worker is helping me.
7. I know what we will do when I come here.
8. I am learning things that help me.
9. Things are getting better for me.
10. I like coming to the AGENCY.
11. Without knowing you who are, can we use what you tell us?
12. What is the best thing about coming to the AGENCY?
Your answer
13. What is one thing that could make it better?
Your answer
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