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* 1. Name of student

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* 2. The referral process was easy to navigate

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* 3. My school was kept updated on the progress of the student

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* 4. Communication was good

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* 5. The mid-point review meeting was of value and helped to plan next steps for the placement

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* 6. The placement was successful for the student

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* 7. The end of placement report was well presented and helpful

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* 8. The placement provided value for money

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* 9. Are you doing anything different for the student than before the intervention place?  Please comment.

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* 10. Is there any further support or advice you would like from us?

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* 11. Are there any other comments you would like to add?

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