Mother and Pepi Service Evaluation Survey

MOTHER AND PEPI EVALUATION SURVEY

Introduction

 Thank you for agreeing to participate in this evaluation of the Mother and Pepi Services. The purpose of this survey is to understand what you and your whānau think the Mother and Pepi, how we are doing in supporting you and how we can improve.  

 You can fill out the survey individually or in a group/whānau setting. If you have any questions or need help completing some of the sections,, please talk to your Mother and Pepi whānau worker.

Please complete this form and once completed, submit via the button at the bottom of the survey.   

 

General Information

To start off, we would like general information about you and the Mother and Pepi services you and your whānau have used, so we can help further develop services to your needs. 

 

1. Is this the first time you have been enrolled with the Mother and Pepi service?
2. In which of the following areas has your whanau worker helped you with? (tick all that apply)
SERVICE
3. Service from Whānau worker
3. Service from Whānau worker
Thinking about your Whānau worker and the service in general, to what extent do you agree or disagree with the following statements? (please tick):
a) They were easily accessible and available to me whenever I needed them:
b) The Whānau worker and service met all my needs:
c) They were clear in what they wanted to do and made it easy for me to understand what they were doing:
d) They were able to answer my questions:
e) They respected my/our cultural beliefs, needs and preferences
f) They supported me/our whānau in accessing other services that were needed
4. Were you referred to any other service for support by your whanau worker?
5. To what extent do you agree that this additional service was of value and helped you significantly:
5. To what extent do you agree that this additional service was of value and helped you significantly:
OUTCOMES
6. Changes for you and your baby as a result of the support you received:
6. Changes for you and your baby as a result of the support you received:
Please indicate to what extent you agree that in the following areas you have experienced significant improvement by your involvement with the service:
a) general health and well-being
b) knowledge through the education/training
c) housing/accommodation circumstances achieve goals
d) employment and/or income
e) access and support with other services
f) motivation to improve own well-being
g) emotional well-being
h) positive and supportive relationships
(Please select ONLY ONE and write in the box below).
(Please write below)
Overall satisfaction with service and support received
9. Overall, how satisfied are you with the Mother and Pepi service(s) you received?
9. Overall, how satisfied are you with the Mother and Pepi service(s) you received?
To what extent do you agree or disagree with the following statement:
I am completely satisfied witht the support and education that I received in my time with the Mother and Pepi service.
Please write below
12. Would you enrol in the service again?
Please write below

THANKS FOR YOUR TIME