AYS Feedback Form

1. My relationship with Anika Youth Services:

2. My contact with AYS is:

Frequent

Occasional

Rare

3. Knowledge of AYS services:

I am very knowledgeable about the services the organization provides

I have some knowledge of the services the organization provides

I know very little about the services the organization provides

4. AYS provides the youth with a safe and nurturing environment

Yes

No

Not Applicable

5. AYS does not discriminate in the provision of its services

Yes

No

Not Applicable

6. AYS provides services that are culturally sensitive

Yes

No

Not Applicable

7. AYS respects the confidentiality of the persons it serves

Yes

No

Not Applicable

8. AYS treats its participants with respect

Yes

No

Not Applicable

9. AYS personnel are competent and qualified in the performance of their jobs

Yes

No

Not Applicable

10. AYS works to support the best interest of the youth

Yes

No

Not Applicable

Anika Youth Services