• Mana Ake Feedback Form

    We appreciate your feedback on our Mana Ake programme. Your input helps us to continuously improve our services and better support tamariki and whānau across Te Tai o Poutini.
  • Date:*
     - -
  • Relationship to tamariki (child):*
  • Location/Region:*

  • Overall Experience with Mana Ake

  • 1. Did you feel that the support provided by Mana Ake Kaiawhina was helpful?*
  • 2. Were the services provided by Mana Ake Kaiawhina culturally responsive and respectful to your family’s values?*
  • 3. How would you rate the accessibility of Mana Ake services?*

  • Programme Impact

  • 1. What changes, if any, have you noticed in your tamariki as a result of Mana Ake's support? (Check all that apply)*
  • 2. What specific skills or strategies did your child gain through the programme? (Check all that apply)*

  • Programme Delivery

  • 1. How did you find the delivery of the programme?*
  • 2. Were the Mana Ake Kaiawhina professional, respectful, and supportive in their interactions?*
  • 3. Did you receive clear and regular communication from Mana Ake Kaiawhina about your child’s progress?*
  • 4. Did the Mana Ake Kaimahi provide timely responses to your questions or concerns?*

  • Programme-Specific Feedback

    Please rate their effectiveness

  • 1. I Am Valued

  • Was the programme helpful?*

  • 2. Seasons for Growth

  • Did this programme help your child understand and cope with change/loss?*

  • 3. Brave Brains

  • Was this programme effective in helping your child manage anxiety?*

  • 4. LEGO-Based Therapy

  • Did this programme support your child’s social and communication skills?*

  • 5. Friendship/Social Skills Groups (Kapa hoa)

  • Was this group beneficial for your child’s social development?*

  • 6. One-on-One Support

  • Whānau Experience and Engagement

  • 1. Did Mana Ake provide opportunities for you to be involved in your child’s journey?*
  • 2. Did Mana Ake provide helpful tools or resources to support your child at home?*
  • 3. How satisfied are you with the level of whānau involvement provided by Mana Ake?*

  • Suggestions for Improvment

  • 4. Would you like additional support or follow-up from Mana Ake on specific topics? (check all that apply)

  • Permission for Future Contact

  • 1. Would you be open to participating in follow-up interviews or focus groups to further discuss your experience?*
  • 2. Can Mana Ake contact you for more information or clarification about your feedback?*

  • Preferred Contact Information

  •  -

  • Thank you for taking the time to share your thoughts with us.

    Your feedback is invaluable and plays a vital role in shaping the way we provide care and support. We deeply appreciate your insights.

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