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Organisation Name 

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Name of person completing the form 

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Email address (in case we have queries)

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How many people were consulted? Please put total in the box 

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Do you think the priorities in the Children’s Services Plan are the right ones?

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How did you carry out the consultation?

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What do you think are the most important issues for children and families (Tick all that apply) 

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Why are these issues important?

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Thinking about these issues, what works well?

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Still thinking about these issues, what should we do to improve services for children and young people?

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What other services for young people would you like to see improved?

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Which race/ethnicity best describes participants (please give numbers of each type)

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Age of participants (enter number on each line) 

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Disability/sexuality (please ask the participants for permission to record this data) Add number in the box

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Please add any other details about the group that may be relevant e.g. young mums, young carers, families with long term conditions 

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Thank you for completing the questionnaire. We will publish the names of the organisations that responded  - but not the names of individuals. All question answers and demographic information will only be used in a way that does not identify individuals 

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