Life History Helper Evaluation

1

2

For the young person we discussed, you are their:* This field is required.

Referring Worker

Birth Family Member

Current Caretaker

Past Caretaker

Therapist, School Staff, Lawyer, GAL, Worker

3

Tell us about the person you worked with at Power of Story.* This field is required.What did you like or not like about them?

4

Tell us about working on this young person's history.* This field is required.Did you feel listened to and respected? Did you get to share what you knew? Were you asked the right questions?

5

What insights will you take away from this process?* This field is required.

6

What would you say to another person who is thinking about working on a young person's history with Power of Story?* This field is required.

7

Can we tell people what you said?* This field is required.

Yes, and tell them my name

Yes, but don't tell them my name

No, I want to keep it private

8

Name* This field is required.

First Name

Last Name