Overall Satisfaction

Overall Satisfaction
. , , satisfied
Neither satisfied
nor dissatisfied
V e r y
dissatisfied dissatisfi
1. Given all the considerations, row satisfied are you with your
1
- 1
r~
consumer directed support prozrar.? • Sf • • • • •
2. How likely would you be to recornnend a consumer directed
Thinking beyond^pnsurnes-dB^g^jpports to your overall quality of life, on the following pages *=_
please indicate how much jba ape or disagree with each statement^ Please complete these sections
from the pejrsjecjh/e of ttepsssawfth a developmental disabili^^The person who has the £
developmentalLdjsabirrfy^tj^tejirectiy involved incompleting thts'survey as much ^possible.' f
j Independence Ifcolfty/ control / Privacy Agree Disagree
to where 1 want to cc —... 9
2. 1 have control overrav_-W5-netf_le a
CO
1 have privacy to beata^irwfepeopie | choose a
Very Neither likely Very
Strongly Somewhat Neither Somewhat Strongly
• • • •
• 3 • •
• • a
4. Only people who ajssinccsattoicnow my personal
information have accsssiDi—,, • • a a
5. 1 can set desired o_rones ccass) for myself • • • •
a a 6. 1 can decide about ht» raenr my money
n • •
7. 1 can make decisions tarmisfcz my future • • • •
8. 1 am satisfied with rm-^aresrfeae; of independence • a a J •
M1
f y
noru
" Ukel
y unm~iy support program in your county r = friend in a similar situation? .. • • • • • •
3. Has the consumer directed support program met the expectations Exceeded Met Failed
that were set for you by your cas rnanager and county social
Exp
f tations
Expectations Expectations
services department? Q Q ^ [] Q Q Q
4. What is the one thing that »coc -a* the greatest impact on your satisfaction with consumer directed
supports? r^,-M •