Overall Satisfaction

Overall Satisfaction J Neither satisfied
. e
"7 nor dissatisfied Very
satisfied dissatisfied
1. Given all the considerations, how satisfied are you with your ' '
consumer directed support program? ^ua. LI U U LJ LI LJ
Very Neither likely Very
2. How likely would you be to recommend a consumer directed p noru
f kely
support program in your county to a friend in a similar situation? .. Q Q Q • Q Q
3. Has the consumer directed support program met the expectations Exceeded Met Failed
that were set for you by your case manager and county social Expectations Expectations __p_s
services department? • Ml • • • • •
4. What is the one thing that would have the greatest impact on your satisfaction with consumer directed
rhinkina bevond
Thinking beyond consumer directed supports to your overall quality of life, on the following pagest
please indicate how much you agree or disagree with each statement PleWe^mptetTt^
from the perspective of the person with a developmental disability. The person who fflsWS
developmental disability should be directlylnvdlved in completing this siifvey as much aVposSef~
jn^P^denC^ Mobility/Control/Privacy
I can (even if someone helps me because of my disability) get
to where I want to qo
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......
5. I can set desired outcomes (goals) for myself
6. I can decide about how I spend my money
7. I can make decisions that will affect my future
8. I am satisfied with my current level of independence _\
Agree
Strongly Somewhat Neither
Disagree
Somewhat Strongly
• ( A • • A
•