Parent Support Services Society of BC

    Grandparent Circle Feedback Survey

Dear Member of Grandparents Raising Grandchildren Support Circle,

Thank you for taking the time to fill out this form.  Your opinions and comments are important to us and also to our funders.  Everything you share with us in this form helps us to improve the Support Circle Program. Your input also will be valuable for our future work of raising money to keep the programs going and in letting others know about the value of the Circles.


All information you provide us is confidential and your name will not be on the form. Your form will be read only by the Program Coordinators and Executive Director of PSS and will not be shared with anyone else. Your facilitators will not read your comments; however, they will get a summary report on the overall evaluation from your region.  This will help them in their future role as your facilitators.

Please take the time you need to think quietly about how you see yourself and how your Circle is working for you.  We are very interested to know how you have changed and what you have learned since you joined the Support Group. We would like to know what else we could do to support you and your family. If you don’t want to answer any particular question, that is fine too.

Thank you,

Carol Ross MSW
Executive Director, Parent Support Services Society of BC

EMAIL
TODAY’S DATE:
Circle's Name: *
Your community:
Gender
    

Age
      

How long have you been in the Circle?




How often does your circle usually meet?




Please tell us everything that makes it hard or sometimes impossible to attend the Circle?








If chosen other at the previous questions, please tell us what makes it hard to attend the circle.
For the following questions, select the word that most closely describes how well the Circle helps you do each of the following:
The Circle helps me…
What would make the Support Circle work better for you and your family?

1. Discover new ideas and skills to use with my grandchild(ren).
2. Handle my frustration and stress.
3. Access supports in my community for me and my grandchild(ren).
4. Be confident in the discipline I use.
5. Gain support and understanding in my parenting role.
6. Reduce isolation in my parenting role.
7. Advocate for myself and my grandchild(ren) when needed.
8. Set healthy limits with my adult child(ren).
How has the circle helped you with your parenting?

For the following questions, select the word that most closely describes your level of improvement in the following areas since joining the Circle:
I have improved at…
1. Handling frustration and stress.
2. Accessing supports in my community for me and my grandchild(ren).
3. Disciplining my grandchild(ren) and managing their behavior.
4. Having fun with my grandchild(ren).
5. Sharing my feelings and experiences with the Circle.
6. Providing support and information to others in the Circle.
7. Using MCFD services when necessary.
8. Advocating for myself and my grandchild(ren) when needed.
What support, training, or information could PSS provide to help you in your role as a GRG?

What topics would you like to receive information about at the Circle or from PSS?







If chosen other at the previous questions, please tell us what topics would you like to receive information about.
Have you ever had contact with the Ministry of Children and Family Development (MCFD) due to concerns about the child(ren) or your parenting?
      

What can PSS do to further support and assist you in interacting with MCFD?








Move Down If chosen other at the previous questions, please tell us in what ways would you need support
Do you have other comments or suggestions for your Circle or PSS?

What is your family’s total annual income?






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