Intake and Assessment Room Feedback Form
We really appreciate you taking the time to complete this survey. It should take no more than 3 minutes of your time. Below are some photos of our Intake and Assessment Room. Feel free to be as honest as possible, as we want this to be a comfortable place for young people to access.
Do you think young people would feel comfortable in this room?
*
Nope
1
2
3
4
Definitely
5
1 is Nope, 5 is Definitely
What do you like about this room?
*
It's spacious
It's simple
The colour palette
Nothing
Other
What don't you like about this room?
*
It's too clinical
It's too simple
The lighting is too harsh
Other
What would you recommend to make this space young people friendly?
*
Change the wall colour
Change the furniture
Change the lighting
Add wall decor
Other
Any other suggestions or comments?
Submit
Should be Empty: