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In-Home Services Probation Officer feedback form
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Probation Officer Feedback for In-Home services
Youth's name (required)
1. How often are you being contacted by the assigned caseworker?
Not at all
Once per month
Two or more times per month
Once per week
More than once per week
2. How often do you receive written summaries, treatment plans, case plans, etc. from the provider?
None at all
Only by request
More than once per month
3. What were the reasons or issues this particular youth was referred for services?
Please check all that apply
Individualized case management
Substance use treatment
Assist with the completion of restitution obligations
Planning assistance for youth and family
Life skills or job skills education
If you selected other, please describe
4. Is this particular program or caseworker assisting to resolve the above issues? Please explain.
5. Please share any additional feedback or concerns.
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