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Questionnaire |
: |
LAC Review 10 - 14 |
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User Logon |
: |
anonuserwww6 |
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Report Created |
: |
20/03/2007 at 13:20 |
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Profile Items |
Profile Response | |
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User Surname |
anon | |
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User First Name |
John | |
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User First Name (Phonetic) |
John | |
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User Birth Year |
1981 | |
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User Gender |
Male | |
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User Ethnicity |
Asian or Asian British -> Indian | |
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Category of Need |
N7 Low Income | |
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Legal Status |
Ward of Court -> W1 in LA accommodation | |
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Placement |
Foster Inside LA -> F1 Relative or Friend
| |
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Name of Placement |
Riverside | |
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Name of Placement (Phonetic) |
Riverside | |
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Foster Carer or Key/Link Worker |
Mary | |
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Foster Carer or Key/Link Worker (Phonetic) |
Mary | |
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Principal worker (Social Worker/Leaving Care Worker/PA)
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Sam | |
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Principal Worker (Social Worker/Leaving Care Worker/PA)
Phonetic |
Sam | |
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Case File Number |
anon |
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Responses from 03/09/2004 | ||||||||
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Health | ||||||||
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Unnamed Group | ||||||||
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51 |
Do you have any worries or concerns about your health?
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No | ||||||
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52 |
Can you say what worries you? |
|||||||
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53 |
Do you have any problems with sleeping? |
0 |
Yes always | |||||
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54 |
Do you have a health plan? |
50 |
I do not know what this is | |||||
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55 |
Do you have someone to talk to about your health?
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33 |
Not really | |||||
|
60 |
How often do you exercise or play sport? |
Hardly ever | ||||||
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Education | ||||||||
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Unnamed Group | ||||||||
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36 |
Do you go to school every day? |
No | ||||||
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37 |
Why do you miss school? |
dont know | ||||||
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38 |
What do you like most about school? |
Something else (Use note pad) | ||||||
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Comment | ||||||||
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nothing | ||||||||
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39 |
Is there anything at school that you worry about?
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50 |
Maybe | |||||
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40 |
Can you say what you worry about? |
No | ||||||
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41 |
Does anyone bully, hurt or upset you at school?
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Sometimes | ||||||
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42 |
Who do you talk to about this? |
Nobody | ||||||
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43 |
How do you think you are getting on at school? Drag the
slider to where you want it on the scale. |
40 |
40 | |||||
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44 |
Would you like any extra support in any of these? You
can choose more than one. |
Literacy|Numeracy | ||||||
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45 |
Do you get any help from Mary or someone else with
school work? |
33 |
Not really | |||||
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46 |
Is there a quiet place for you to do your homework,
where you live? |
33 |
Not really | |||||
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47 |
Do you have the books and other things you need for
school, where you live? |
33 |
Not really | |||||
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48 |
Are you able to use a computer for your school work
where you live? |
33 |
Not very often | |||||
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49 |
Do you have a Personal Education Plan (PEP)? |
I don´t know | ||||||
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Emotional and Behavioural Development | ||||||||
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Unnamed Group | ||||||||
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3 |
Do you feel settled, where you live now? Click on your
answer, and then click the forward arrow to move on. |
67 |
Just about | |||||
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12 |
What hobbies or sports do you like doing? Click on the
screen, and type in your answer. |
none | ||||||
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13 |
Can you do these as often as you like? |
33 |
Not really | |||||
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15 |
Are you able to make and keep friends of your own age?
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67 |
Most of the time | |||||
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22 |
Are there ever times when you get angry or frustrated?
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33 |
Most of the time | |||||
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23 |
When does this happen? |
all the time | ||||||
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58 |
What makes you happy? |
no school | ||||||
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59 |
What makes you sad? |
nothing | ||||||
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Identity and Self Image | ||||||||
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Unnamed Group | ||||||||
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9 |
Are you able to follow your religion and customs where
you live? |
Yes | ||||||
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24 |
Do you have a life story book, or information about
people you know? |
100 |
Yes, as much as I like | |||||
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25 |
What information would you like? |
|||||||
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14 |
Does Mary or someone else encourage you to do hobbies or
sports? |
67 |
Just about | |||||
|
33 |
Does Mary or someone else notice when you have done well
at something? |
67 |
Sometimes | |||||
|
57 |
Do you think your views and opinions are listened to?
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Not really | ||||||
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Family and Social Relationships | ||||||||
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Unnamed Group | ||||||||
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16 |
Are your friends able to visit where you live now?
|
67 |
Sometimes | |||||
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17 |
Do you see your friends as much as you want? |
0 |
Not at all | |||||
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18 |
Are you able to keep in touch with your family as much
as you want? |
67 |
Just about | |||||
|
21 |
Is there anything you want to change about contact with
family and friends? |
No | ||||||
|
19 |
Do you have overnight stays with anyone? |
No | ||||||
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20 |
Are you happy with the arrangements for staying
overnight with friends or family? |
|||||||
|
32 |
Is Mary someone you can talk to? |
33 |
Not really | |||||
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Social Presentation | ||||||||
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Unnamed Group | ||||||||
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4 |
Do you have new clothes bought for you? |
33 |
Not really | |||||
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5 |
Who goes shopping with you for clothes? |
Nobody | ||||||
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6 |
Do you have the things you need for your personal care?
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67 |
Some but I want more | |||||
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Self Care Skills | ||||||||
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Unnamed Group | ||||||||
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34 |
What do you spend your pocket money on? |
food | ||||||
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35 |
Do you have a bank account? |
Yes | ||||||
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Review of Care Plan | ||||||||
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Unnamed Group | ||||||||
|
27 |
Do you see Sam as often as you like? |
67 |
Just about | |||||
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28 |
Do you see anyone else as well as Sam? |
No | ||||||
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29 |
Is Sam someone you can talk to? |
67 |
Yes, sometimes, it depends | |||||
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30 |
Does Sam help you when you have problems? |
67 |
Yes, but I´d like more help | |||||
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62 |
Do you know why you are living with Mary? |
50 |
I think so | |||||
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63 |
Do you know that you have a care plan? |
No | ||||||
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64 |
Are you helped to understand your care plan? |
|||||||
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Review of Placement Arrangements | ||||||||
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Unnamed Group | ||||||||
|
7 |
Can you have the sorts of food and drink you like?
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33 |
Not really | |||||
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61 |
Do you enjoy the food you´re given where you are living?
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Sometimes | ||||||
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8 |
Can you keep your own things safe where you are?
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67 |
Most things | |||||
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10 |
Do you feel safe where you live now? |
67 |
Just about | |||||
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11 |
Does anyone bully or pick on you, where you live now?
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67 |
A bit | |||||
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31 |
How do you think you get on with Mary? |
33 |
Okay | |||||
|
65 |
Is there anything that you are not happy about where you
live now? |
No | ||||||
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66 |
Is there anything that would make things better for you
where you live now? |
No | ||||||
|
76 |
If you were worried about something would you be able to
use a telephone in private? |
33 |
I think so | |||||
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56 |
Do you receive enough information to enable you to make
decisions about your future? |
Not really | ||||||
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Review Process | ||||||||
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Unnamed Group | ||||||||
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67 |
Has Sam talked to you about your review meeting?
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100 |
Yes, completely | |||||
|
68 |
Who do you want at your review? |
No one | ||||||
|
69 |
Is there anyone you would NOT like to have at your
review? |
Mum | ||||||
|
70 |
Are you going to your next review? |
Not sure | ||||||
|
71 |
Why not? |
dont want to | ||||||
|
72 |
What decisions would you like to see made at your
review? |
If I stay here | ||||||
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73 |
What has gone well for you since your last review?
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Not much | ||||||
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74 |
What has been difficult for you since your last review?
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getting on with people | ||||||
|
77 |
Is there anything else you would like to say for your
review? |
No | ||||||
|
78 |
Are you aware that this information will be shared with
people at your review? |
Yes | ||||||
|
79 |
Is there anything you would not like to be discussed at
your review? |
No | ||||||
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Complaints | ||||||||
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Unnamed Group | ||||||||
|
75 |
Do you know that if you are not happy about something,
you can get help to make a complaint? |
Yes, I know | ||||||