Overall Satisfaction

Overall Satisfaction
I III L L 111 IWLL IIMIHL J IIIHL || LLLLLLLLLLLLJAILJMJJLILLLLI Very Neither satisfied
satis4, nor dissatisfied
v-iivcn an me uunsiueranons, now satisned are you with your ' .~~ZT—i—
1. consumer Given all the directed considerations, support program? how satisfied are you with your
/
LJ LJ LJ LI LI Lj Q
Very Neither likely Very
2. How likely would you be to recommend a consumer directed ^p. POru
f kcIy
support program in your county to a friend in a similar situation? .. ^ LJ Q LJ LJ LJ LJ
3. Has the consumer directed support program met the expectations Exceeded Met F«ued
„. ... „ _ . , . , . . , Expectations Expectations Expectations
that were set for you by your case manager and county social V^-, ^
services department? / L J • LJ LJ LJ LJ LJ
4. What is the one thing that wduld have the greatest impact on your satisfaction with consumer directed
SUPPORTS? J)h*\ i--R&d*>Hv8F? ^U^IAL^J S)L^1 -RLL^F- ^j^^L—I - ^ ^ ^
o f o n t h e
Thinking beyond consumer directed supports to^tpvej^!J^!^ # ^ _ _ _ _ _ & ^
please indicate how much you agree or disagree with each statement. Please complete.!^g«gg£
from the perspective of the person with a developmentaldisability. The person wnoi
developmental disability shouldije directly involved in completing this survey as much.aspossgie^^,^
J Independence Mobility / Control / Privacy
AGREE
DISAGREE
1. I can (even if someone helps me because of my disability) get
to where I want to go
2. I have control over my daily schedule
3. I have privacy to be alone or with people I choose
4. Only people who are supposed to know my personal
information have access to it........
can decide about how I spend my money ...
can make decisions that will affect my future.
Strongly Somewhat Neither
T A
Somewhat Strongly
a • • a
• • JHP • a
• • • a
a • • • •
• • • •
• a • a
• • a •
a • • a
I I R 7 /