Skip to main content
Main navigation
Home
User account menu
Log in
Reset your password
Breadcrumb
Home
Young Carer - Event Feedback
Primary tabs
View
Toggle tabs as a menu
Revisions
Event Leader
Event Leader
Please select an event leader from the list below
- Choose existing -
Alana Steane
Amy Harrison
Anna Rose
Carol Haycock
Jane Guillard
Kate Vincent
Lauren Harvey
Stephanie Frazer
Tanya Marshall
Activity
Feedback
Please select your location
Bradford District
Craven District
Harrogate District
Selby District
Trip/Event/Activity Title
Event/Trip/Activity Type
- Select -
Family Trip
One-off Trip
Youth Club
How good was the trip? Please select the appropriate number below;
- None -
1 - (Rubbish)
2
3
4
5 - (Awesome)
How friendly were the other Young Carers? Please select the appropriate number below;
- None -
1 - (Rubbish)
2
3
4
5 - (Awesome)
How did the trip help you? Please select the appropriate answers below;
Break from responsibilities
Felt less stressed
Had fun
Increased confidence
Learned new skills
Made new friends
My favourite thing about the trip/activity was…
About text formats
Restricted HTML
Allowed HTML tags: <a href hreflang> <em> <strong> <cite> <blockquote cite> <code> <ul type> <ol start type> <li> <dl> <dt> <dd> <h2 id> <h3 id> <h4 id> <h5 id> <h6 id>
Lines and paragraphs break automatically.
Web page addresses and email addresses turn into links automatically.
The trip/activity would have been better if…
About text formats
Restricted HTML
Allowed HTML tags: <a href hreflang> <em> <strong> <cite> <blockquote cite> <code> <ul type> <ol start type> <li> <dl> <dt> <dd> <h2 id> <h3 id> <h4 id> <h5 id> <h6 id>
Lines and paragraphs break automatically.
Web page addresses and email addresses turn into links automatically.
Attachment 1
One file only.
80 MB limit.
Allowed types: gif, jpg, jpeg, png, bmp, eps, tif, pict, psd, txt, rtf, html, odf, pdf, doc, docx, ppt, pptx, xls, xlsx, xml, avi, mov, mp3, mp4, ogg, wav, bz2, dmg, gz, jar, rar, sit, svg, tar, zip.
Attachment 2
One file only.
80 MB limit.
Allowed types: gif, jpg, jpeg, png, bmp, eps, tif, pict, psd, txt, rtf, html, odf, pdf, doc, docx, ppt, pptx, xls, xlsx, xml, avi, mov, mp3, mp4, ogg, wav, bz2, dmg, gz, jar, rar, sit, svg, tar, zip.
Activity Date
Contact Method
Phone (not Duty)
Admin/office work
Carer Registration Card
Email
In Person
In Person (at a group)
In person - At Home (Worth Connecting ONLY)
In person - Other Setting(Worth Connecting ONLY)
Post
Social Media
Duty
Video Call
Webform
Webform(Website}
WhatsApp / Text
Feedback Contact
Existing Contact
Leave this field blank