Background: This article reports the results of a service evaluation designed to assess children's dream fulfillment charity, Dreams Come True. Aims and Objectives: With the objective to gain the opinions of those who have used and are involved with the charity, parents (n = 10), staff (n = 10), and key informants (n = 18) were asked what the charity does most and least well. Method: Focus group meetings using the nominal group technique were held for parents and staff and an email survey was sent to key informants. Results: Conclusions, in the form of voted responses to the question of what the charity does most and least well are presented. Conclusions: Popular themes arising from each group were the benefit of dreams, the importance of empathy, staff communication, and fundraising. Implications for the charity and third sector are discussed.