COVEY Evaluation Survey

Please select the title which applies to you:

Participant's full name:

First NameLast Name

Which Project are you involved with at COVEY?

How long have you been supported by COVEY?

For all of the star rated questions, please use this guide:

1 star - strongly disagree

2 stars - disagree

3 stars - agree

4 stars - strongly agree

I feel positive about my future e.g. Do you feel hopeful about what’s ahead and believe things can get better?

More information about this e.g. What makes you feel hopeful about what’s ahead for you right now? What is preventing you from feeling this way?

I am active and have opportunities to try new skills and interests e.g. Do you have chances to get out, do activities and learn something new?

More information about this e.g. What activities have you taken part in recently, or what would you like the chance to try?

I feel good about myself e.g. Do you generally like who you are and feel self-respect?

More information about this e.g. What helps you feel confident or proud of who you are?

I feel comfortable meeting new people e.g. Do you feel at ease starting conversations and being around people you don’t know well?

More information about this e.g. How do you usually feel in new social situations, and what helps you feel more at ease?

I have confidence to try new things and go to new places e.g.Would you try something unfamiliar without too much worry?

More information about this e.g. Can you describe a time you tried something new, or what might help you feel ready to do so?

I have a positive relationship with my family e.g. Do you feel supported and able to talk openly with your family about things?

More information about this e.g. In what ways do you feel supported by your family, and how comfortable are you sharing how you feel with them?

I feel able to access additional support to help me in school/college or to go back to school/college e.g. Do you know what support exists and how to apply for it or access it?

More information about this e.g. What support have you used or considered, and what might help you take the next step?

I feel able to access social activities in my local area e.g. Do you know what’s available and can you get there and join in?

More information about this e.g. What activities do you know about locally, and what helps or prevents you from joining in?

I have skills and interests e.g. Can you name your strengths or things you enjoy or want to learn?

More information about this e.g. What are your strengths, hobbies, or things you would like to learn or improve?

Have you moved on to a positive destination? e.g. Are you currently in education, training, volunteering or employment or have you taken steps towards these?

Can you add more details abut this e.g. What steps have you taken towards education, training, volunteering, or work, and what are your next goals?

Which Project are you involved with at COVEY? (Parent/Carer)

How long have you been supported by COVEY? (Parent/Carer)

For all of the star rated questions, please use this guide:

1 star - strongly disagree

2 stars - disagree

3 stars - agree

4 stars - strongly agree

I feel positive about my future e.g. Do you feel hopeful about what’s ahead and believe things can get better? (parent/carer)

Can you add more details about this e.g. what makes you feel hopeful about what’s ahead for you right now? What's preventing you from feeling this way?

I am active and have opportunities to try new skills and interests e.g. Do you have chances to get out, do activities and learn something new? (parent/carer)

Can you add more details about this e.g. What activities have you taken part in recently, or what would you like the chance to try?

I feel good about myself e.g. Do you generally like who you are and feel self-respect?(parent/carer)

Can you add more details about this e.g. What helps you fee lconfident or proud of who you are?

I feel comfortable meeting new people e.g. Do you feel at ease starting conversations and being around people you don’t know well? (parent/carer)

Can you add more details about this e.g. How do you usually feel in new social situations, and what helps you feel more at ease?

I have confidence in my parenting/caring role e.g. Do you feel able to meet your child/children’s needs day to day and cope when things are challenging?

Can you add more details about this e.g. What parts of being a parent/carer feel manageable, and where do you find things more challenging?

We have a positive family relationship e.g. Do you all communicate well, feel safe and manage to resolve any conflict fairly?

Can you add more details about this e.g. How does your family communicate and handle disagreements or difficult moments?

I feel able to access additional support for me or my children such as health, housing, school or financial support e.g. Do you know where you can go and feel able to ask for help when you need it?

Can you add more details about this e.g. What would make it easier to ask for help if needed?

I feel able to access social activities in my local area e.g. Do you know what’s available and can you get there and join in?

Can you add more details about this e.g. What activities do you know about locally, and what helps or prevents you from joining in?

I have skills and interests e.g. Can you name your strengths or things you enjoy or want to learn? (parent/carer)

Can you add more details abut this e.g. What are your strengths, hobbies, or things you would like to learn or improve?

Have you moved onto a positive destination? e.g. Are you currently in education, training, volunteering or employment or have you taken steps towards these?

Can you add more details abut this e.g. What steps have you taken towards education, training, volunteering, or work, and what are your next goals?

I feel able to cope with day-to-day financial pressures e.g. do money worries feel manageable to you rather than overwhelming?

Can you add more details abut this e.g. How do money concerns affect your daily life, and what are your main worries?

I feel able to confidently manage my money e.g. Do you know how to budget for things you need and understand ways to reduce bills?

Can you add more details about this e.g. How do you currently manage your budget, and what support or tools might help you feel more in control?

Name of pupil:

Your name:

Since receiving support from COVEY, has the child/young person increased school attendance?

If you can, please add any additional information about this here:

Since receiving support from COVEY, has the child/young person's attainment in Literacy improved?

If you can, please add any additional information/observations about this here:

Since receiving support from COVEY, has the child/young person's attainment in Numeracy and Maths improved?

If you can, please add any additional information/observations about this here:

Have you noticed any other improvements in the child/young person since receiving support from COVEY?

Name of supported Parent/Carer

Your name

Has the Parent/Carer improved their income level through accessing benefit entitlements, and/or reducing debt and/or increasing income through employment?

What has been the total financial gain achieved for the family?

Please provide a breakdown of the financial gains for this Parent/Carer whilst receiving support (e.g. how much was related to social security benefits, what was attributable to reduced debt, what was related to reduced household costs)

Has the Parent/Carer received any additional support?

This section is for the supporting COVEY team member to complete in relation to the young person or parent/carer.

* If you feel it's not a good time to complete this part of the evaluation, you can go into the participant's Salesforce record later and directly update their Evaluation tab *

Name of supporting COVEY team member:

First NameLast Name

Please briefly describe what has gone well for the participant since their last evaluation:

0/1500

Please briefly describe any areas where the participant may still need support.

0/1500

What are the main goals for the participant? Please select all that apply:

If you selected 'other' please add more details here:

Which of COVEY's outcomes is the participant working towards? Please select all that apply:

How do you think the participant’s support could be improved or sustained at a good level?

Why do you think this change, or no change, is needed? Please give a brief explanation:

0/1500

COVEY Evaluation Survey

COVEY Supporter's Evaluation