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TRACK

Survey of Children and Young Peoples Services in Wrexham

Please note that the maximum text that can we can accept in any box below is 500 characters.

1. About the Organisation.

Organisation:
Address:


Town:
County:
Postcode:
Tel:
Fax:
Email:
Website:

2. Please describe briefly the support/intervention your service provides.

3. What area(s) of Wrexham does your service provide support?
(Please provide postcodes)

4. How is your service funded?

5. Is your organisation:

Statutory Voluntary

6. What age group does your organisation provide its service to?

7. How do children & young people access your service?

By appointment only	Drop in / self referral	Referral by other agency
If other, please specify:

8. How do children and young people with disabilities access your service and what provisions do you provide to support then?

9. When are you open? Please tick sessions

10. Is a charge payable for receiving your service?

Yes No

11. How long has your service been in operation?

12. Please indicate which headings best describe your service.

13. Have young people been involved in developing this service?

Yes No

14a. How have they been involved?

	Service based on assessment of need
	Involved in Planning
	Involved in Delivering
	Involved in Monitoring
	Involved in Evaluation
	Involved in Governance
	Involved in All

14b. Do you intend to involve young people in the future and how?

15. Does your service seek feedback from young people?

Yes No

16. Does your service collect information on the outcomes/achievements that young people gain from receiving it?

Yes No

17. 18. Please give examples of informal and formal pathways. Please include service eligibility criteria.

19. Please describe areas of expertise in which training is or could be provided to other agencies.

Please press the SUBMIT button to send us the questionnaire or the RESET button to clear the form and start again.

Monday	AM	PM	Evening
Tuesday	AM	PM	Evening
Wednesday	AM	PM	Evening
Thursday	AM	PM	Evening
Friday	AM	PM	Evening
Saturday	AM	PM	Evening
Sunday	AM	PM	Evening

	1-6 mths
	7-12 mths
	Up to 2 years
	Up to 5 years
	More than 5 years
	More than 10 years

Health		Employment/Training
Sport/Leisure		Travel
Law/Rights		Education
Housing/ Accom		Environment
Money		Family/Relationship

a) Do you have child protection policy?	Yes	No
b) Are your staff CRB checked?	Yes	No
c) Do you have a health and safety policy?	Yes	No
d) Do you offer a bilingual service?	Yes	No
e) Do you have Welsh speaking staff?	Yes	No

TRACK

Survey of Children and Young Peoples Services in Wrexham

1. About the Organisation.

2. Please describe briefly the support/intervention your service provides.

3. What area(s) of Wrexham does your service provide support? (Please provide postcodes)

4. How is your service funded?

5. Is your organisation:

6. What age group does your organisation provide its service to?

7. How do children & young people access your service?

8. How do children and young people with disabilities access your service and what provisions do you provide to support then?

9. When are you open? Please tick sessions

10. Is a charge payable for receiving your service?

11. How long has your service been in operation?

12. Please indicate which headings best describe your service.

13. Have young people been involved in developing this service?

14a. How have they been involved?

14b. Do you intend to involve young people in the future and how?

15. Does your service seek feedback from young people?

16. Does your service collect information on the outcomes/achievements that young people gain from receiving it?

17.

18. Please give examples of informal and formal pathways. Please include service eligibility criteria.

19. Please describe areas of expertise in which training is or could be provided to other agencies.

3. What area(s) of Wrexham does your service provide support?
(Please provide postcodes)