Overall Satisfaction

Overall Satisfaction
1. Given ali the considerations, how satisfied are you with your
consumer directed support program?
2. How likely would you be to recommend a consumer directed
support program in your county to a friend in a similar situation?
Very
satisfied
1
Very
likelv
3. Has the consumer directed support proqram met the expectations Exceeded
., . , , , , . . Expectations
7
Neither satisfied
nor dissatisfied
Very
dissatisfied
R
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Neither likely
nor unlikely
T
Very
unlikely
R
• • • • •
Met
Expectations
Failed
Expectations
that were 3 set for you by your case manager and county social ~n V / <
r
"
services department? • • • • • •
4. What is the one thing that would have the greatest impact on your satisfaction with consumer directed
^e&S
supports? /
RTSR, C
,
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Thinking beyond consumer directed supports to your overall quality of life^orrthe following pages
please indicate how much you agree or disagree with each statement. PleasVcomplete these(sections
from the perspective of the person with a developmental disability. The person who has the
developmental disabilitylshbuld be directly involved in completing this survey^as much as possible.
Independence I Mobility/Control/Privacy AGREE DISAGREE
Strongly Somewhat Neither Somewhat Strongly
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
5. I can set desired outcomes (goals) for mys<
6. I can decide about how I spend my money
8.
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