We specialise in working with children, young people and families, but also provide counselling for adults

Family Name:

Name of Child/Children:

Date form completed:

Counsellor’s Name:

Briefly identify what you wanted from attending DDP?

1. What difference has DDP made to your parenting? It’s okay to tick more than 1 box.

I understand more about attachment and how this affects my child/children

I understand more about my child/children’s needs and how I can best meet them

I’ve learned different ways of parenting my child/children

My relationship with my child / children has improved

Anything else?

2. Has the DDP made a difference to how you parent together? (if you are a couple)

Positive difference | Negative difference | No difference

3. How much of what you learned will you use in your everyday life?

Everything | A lot | Some | Very little | None

4. Has attending DDP helped your child/children? It’s okay to tick more than 1 box.

Helped improve their attachment to me/my partner

Helped my child/children’s behaviour in a positive way

Helped my child /children express their feelings in an appropriate way

Helped increase my child/children’s self-esteem, self-worth, self-confidence

Anything else?

5. How close do you think you have come to achieving your goals? Please select one.

All Achieved | Most Achieved | Some Achieved | Very Few Achieved | None Achieved

Any other comments?

6. How satisfied were you with your counsellor? Please select one.

Fully | Mostly | Not very | Dissatisfied

7. Overall, how satisfied are you with the service you received? Please select one.

Fully | Mostly | Not very | Dissatisfied

8. Is there anything else you’d like to say?

9. Would you be willing for your comments to be anonymously used in our publicity and service evaluations? For example, cited on our website and shared with Ofsted?

Yes No

10. Are you happy for your comments to be shared with your counsellor / therapist and other members of the Time to Listen Team?

Yes No

Your completed form will be shared with your Social Worker, if applicable, as part of our regular review process

Thank you for taking the time to complete this form and sharing your feedback