WELCOME TO THE SEASONS FOR GROWTH PROGRAM PRE-GROUP SURVEY LEVEL. (for completion by the child or young person at the start of the group)

Transcription

1 COMPANION TO COMPLETE COMPANION ID # PARTICIPANT ID # WELCOME TO THE SEASONS FOR GROWTH PROGRAM PRE-GROUP SURVEY LEVEL (for completion by the child or young person at the start of the group) Please read out each question for those who need assistance We are really pleased that you have decided to join our program. We care a lot about whether children and young people enjoy their Seasons for Growth groups and whether they learn things that help them. We have some questions for you and we will ask you similar questions at the end of your group. Remember there are no right or wrong answers we just want to know your ideas! Seasons for Growth Survey: Children and Young People Pre-group Level

2 This is your Seasons for Growth Survey. First, can you write Today's Date: (day) Your Birthday: (day) (month) (year) (month) (year) Your Age: (years) I am a: Boy Girl Prefer not to answer We ask this so we can link your answers to how you feel after the group, without knowing your name. That way your answers are completely private. Second, which Level is your Seasons for Growth group? If you re not sure, check the cover of your journal it says your level at the top... Please tick that you are completing Level : Thanks! Seasons for Growth Survey: Children and Young People Pre-group Level

3 What made you decide to come to the group? Write an answer in the lines below... or leave it blank if you don t know. Why do you think it s a good idea for you to come to a Seasons for Growth group? Write an answer in the lines below... or leave it blank if you don t know. How are you feeling about coming along? Write an answer in the lines below... or leave it blank if you don t know. Seasons for Growth Survey: Children and Young People Pre-group Level

4 For many children and young people in Seasons for Growth, their families have been through some changes. These are questions about change in your life. Can you tell us how much you agree with these ideas by circling the number - for example if you 'strongly agree' then circle. Remember, there are no right or wrong answers. ABOUT CHANGE IN MY LIFE Strongly Disagree Disagree Sometimes Agree Agree Strongly Agree I am OK talking about change in my family I know that lots of change will happen throughout my life My family is still special even though it s changed I will be OK when things in my life change in the future Sometimes I find it hard to say how I feel It s OK to feel angry I can choose how I want to act when I feel upset I know who I can talk to when I feel upset Seasons for Growth Survey: Children and Young People Pre-group Level

5 The next questions are about how you have felt OVER THE LAST WEEK Circle the number that says how much you have felt from not at all to extremely. THINKING ABOUT THE LAST WEEK Not at all Slightly Moderately Very Extremely Have you felt fit and well? Have you felt full of energy? Have you felt sad? Have you felt lonely? Have you had enough time for yourself? Have you been able to do the things that you want to do in your free time? Have your parent(s) or carer(s) treated you fairly? Have you had fun with your friends? Have you got on well at school? Have you been able to pay attention? Seasons for Growth Survey: Children and Young People Pre-group Level

6 This last question is about your health. Circle the number that best fits how much you agree with the statement for example if you think it is excellent, then circle. Remember, there are no right or wrong answers. IN GENERAL, HOW GOOD WOULD YOU SAY YOUR HEALTH IS? In general, how good would you say your health is? Poor Fair Good Very Good Excellent Thank you so much for answering these questions it will really help make sure Seasons for Growth groups are as good as they can be! You had some great ideas! Is it okay to use the information you provide now and at the end of the program in a report about Seasons for Growth? Yes No Thank you! PO Box 0, North SydneyNSW 09 Australia e: info@goodgrief.org.au goodgrief.org.au 6 Seasons for Growth Survey: Children and Young People Pre-group Level