Young Person Survey (Wales)

DD slash MM slash YYYY
DD slash MM slash YYYY
Your name
You are not required to complete the above information. You may complete your name or leave this blank if you wish to remain anonymous. This form is available in Welsh and other languages.

Please read the questions below and select the grade you feel we perform. This will help us improve and raise our standards.

1 = Unsatisfactory 

2 = Weak

3 = Adequate

4 = Good

5 = Very good

6 = Excellent

Section 1. How well do we support your well-being?

Section 2. How well does Bluestones Medical Complex Care provide care and support that meets the needs of the people using the service?

Section 3. How good is our leadership and management?

Section 4. Where we are responsible, how good is the environment where you live?

Section 5. Respecting my privacy

If you wish, you do not have to declare your identity on this survey and you may return it anonymously

A member of staff helped me complete this survey
I have been told that I can return this survey anonymously
I have been shown how to return this survey anonymously
I am satisfied that I can return this survey anonymously if I want to
This field is for validation purposes and should be left unchanged.