Parent Carer Feedback

Who is completing this form?(Required)

Child/Young person

Parent/Carer

Both together

How old is the young person?(Required)

Under 13

13-14

15-16

Did the Appropriate Adult explain who they were and how they would help?(Required)

Yes clearly

A little

Did the Appropriate Adult help the young person understand what was happening?(Required)

Yes

A bit

Did the young person feel comfortable when speaking with the AA and feel able to ask questions?(Required)

Yes

Sometimes

Did the young person speak with the AA privately?(Required)

Yes

If no, why not?

Did having an Appropriate Adult present make the young person feel more supported?(Required)

Yes

A little

Overall, how would you rate the support from the Appropriate Adult?(Required)

Excellent

Good

Poor

Was there anything else the AA could have done to support you?

Is there anything else you would like to tell us?

Police Station (if you know it)

Date of Custody Visit (approximate is fine)

ADDRESS

Surrey Appropriate Adult Volunteer Service
BraveSpace
29 Heather Avenue
Romford
Essex
RM1 4SU

T: 01483 977739