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PosAbilities Feedback Form
In an effort to improve our services, we would be grateful if you could complete this short survey.
10
Questions
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1
First Name
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2
Email
example@example.com
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3
Which services were you provided?
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School Leaver Employment Support (SLES)
Social Club
1:1 Positive Coaching
First Aid Course
Employment Program
Garden Maintenance Program
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4
Which services were you provided as part of the School Leaver Employment Support program?
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Career Pathway Plan
Independent Skills
Financial Literacy
Travel Training
10 Steps to Happiness
Work Skills
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5
Career Pathway Plan: How confident are you that you have a detailed Career Pathway Plan, you know where you are going with your career and you know how to get there?
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Not at all
Completely!
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6
Why did you give this score?
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7
Independent skills: How confident are you about living independently?
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8
Why did you give this score?
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9
Financial literacy: How confident are you about your financial literacy?
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10
Why did you give this score?
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11
Travel Training: Do you feel confident to take all forms of public transport, read timetables and be in the community?
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12
Why did you give this score?
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13
10 Steps to Happiness: How would you rate your confidence in managing your Health, Acceptance, Appreciation, Presence, Purpose, Interactions, New experiences, Emotions, Skills in Coping, Setting Goals?
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14
Why did you give this score?
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15
Work skills: How much have you developed in workplace skills, both soft and hard skills?
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16
Why did you give this score?
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17
Which Social Club(s) did you attend?
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Wednesday Evenings
Saturday Social Club
School Holiday Program
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18
Did you make connections with others and develop communication skills?
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Completely!
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19
Why did you give this score?
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20
Did you have fun, access activities in the community, try new things and connect with others?
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Completely!
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21
Why did you give this score?
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22
Did you develop the skills you wanted to during the 1:1 Positive Coaching sessions?
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Not at all
Completely!
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23
Why did you give this score?
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24
Did you gain the certificate for First Aid in a positive, supportive environment?
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Not at all
Completely!
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25
Why did you give this score?
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26
Did you develop the work skills, both soft and hard, that you were looking for in your Career Pathway Plan?
*
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Not at all
Completely!
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27
Why did you give this score?
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28
Were you able to develop the skills required in the Garden Maintenance Program?
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Not at all
Completely!
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29
Why did you give this score?
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30
How satisfied are you with the overall service you were provided?
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Not at all
Completely!
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31
Why did you give this score?
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32
What would have enhanced your experience with us?
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33
Would you recommend us to others?
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YES
NO
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34
Please tell us why.
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35
Are you comfortable writing a testimonial for us on your overall experience?
In as few or as many words as you would like.
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36
Is there anything else you would like to add?
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