Take Our Survey

Tell us how we are doing.

Please CLICK HERE to download a copy of our YHS survey form in PDF format.  This interactive form can be downloaded to your computer, filled in and then saved to your computer.  Once completed and saved, please send it by attaching it to our email address using the SUBMIT APPLICATION link below.

SUBMIT SURVEY

You can also mail your completed survey to:

Youth Haven Services / Survey
229 Turner Drive • Reidsville, NC 27320
(ph) 336-349-2233 • (fax) 336-634-0444