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16+ Services - Information and advice
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16+ Services - Information and advice
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My Review forms
My Review Form - Ages 5 - 11
Name
Age
Birthday
Date of review (if known)
Would you like to speak to your Independent Review Officer in private before your review meeting?
Yes
No
All about me
What are you good at?
What activities do you like doing?
Home life
Do you like where you live?
Yes
It's ok
No
Do you get along with the people you live with?
Yes
Sometimes
No
Is there anything else you would like to say about where you live? E.g. about food, pocket money, your clothes, the rules or what happens if you break them?
Do you have a Lifestory Book or information and photos about people you know?
Yes
No
If you don't have one, would you like one?
Yes
No
School
What do you like about school?
Is there anything you would change about school?
Is there anything you need help with in school?
Family & Friends
Who do you see from your family and friends and how do you feel about seeing them?
Is there anyone you would like to see MORE often?
Is there anyone you would like to see LESS often?
My life and feelings
What do you do to keep healthy?
Eat healthy foods
Excercise
Go to the doctors when I'm sick
Brush my teeth every day
How do you feel most of the time?
ok
happy
sad
lost
lonely
frightened
numb
tired
loved
cared for
helped
picked on
supported
rejected
lucky
satisfied
bored
worried
understood
angry
don't know
What are your dreams for the future?
Would you like someone to come and speak with you about your wishes and feelings before your review meeting?
Submit
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