Instrument 5_Youth Post-Hearing Short Survey_Cln update Oct23

The Paperwork Reduction Act Statement: This collection of information is voluntary and will be used to help us understand experiences in child welfare courts. Public reporting burden for this collection of information is estimated at 10-15 minutes per response, including the time for reviewing instructions, gathering, and maintaining the data needed, and reviewing the collection of information. An agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless it displays a currently valid OMB control number. The OMB number and expiration date for this collection are OMB #: 0970-XXXX, Exp: XX/XX/XXXX. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden to Dr. Alicia Summers; alicia.d.summers@gmail.com and Dr. Sophia Gatwoski; sgatowski@ymail.com.

Youth Post-Hearing Short Survey¹

<<insert organization name>> is interested in learning more about your experience with the child welfare court system. Your opinion can help us learn more about current practice and ways that we can improve. The survey is voluntary. You may also skip any questions you wish. Your responses are completely anonymous and will not impact your case in any way. This survey should take about <<insert time>> minutes to complete. If you have any questions, you can contact <<provide contact information>>.

Instructions: Allow child or youth to complete this survey on their own AFTER the court hearing. If they need assistance, have a law guardian or adult of their choice assist.

1. How was your experience in court today? [5-point scale] [1.13]

• Very good

• Good

• Neutral [neither good nor bad]

• Bad

• Very bad

2. How do you feel about coming to court today? [1.13]

• Glad I came

• Neutral [neither glad nor sad]

• I wish I had not come

3. Did you talk in court today? [yes or no] [1.13]

4. Which issues are most important to you? [Check all that apply.] [1.11]

Going to live with parents or relatives	Going to live with siblings
Visits with parents, relatives, or siblings	Placement issues
Problems with where I live now, feeling unsafe where I live now	Independent living
Adoption	School or after-school activities
My future	Finding and connecting with family
My cultural identity	My sexual orientation and gender identity
Other __________________________

5. Did you talk about issues that are important to you in court today? [Yes or no] [1.11]

6. [If yes] Did you feel that the judge understood what you were saying in court? [1.13]

• Yes

• No

• Do not know

7. [If yes] Do you think the judge will take your needs and wishes into account when making a decision? [1.13]

• Yes

• No

• Do not know

8. How do you think your case outcome changed because you attended court today? [1.13]

• Got better

• Stayed about the same

• Got worse

• Do not know

9. Would you come to court again? [Yes, no, or other_____] [1.13]

10. In what county was(is) your case? __________________________________________

11. What is your age? _______

12. What is your gender?

    ☐ Female

    ☐ Male

    ☐ Non-binary

    ☐Other

    ☐ Prefer not to answer

13. Are you of Hispanic, Latino, or Spanish origin?

    ☐ No

    ☐ Yes

14. What is your race? (mark all that apply)

☐ Black/African American	☐ White/Caucasian	☐ American Indian/Alaska Native
☐ Asian	☐ Native Hawaiian/Pacific Islander	☐ Prefer not to answer
☐ Other race ______________________________

1 This survey was developed by Lily Colby, Esq., from With Lived Experience, along with the members of the Youth With Lived Experience Perspective Group.

JCAMP Youth Post-Hearing Short Survey 3