Overall Satisfaction

Overal Satisfaction
1. Given all the considerations, how satisfied are you with your
consumer directed support program?
2. How likely would you be to recommend a consumer directed
Very
likely
r
Ne
«ther satisfied
nor dissatisfied
Neither likely
nor unlikely
support program in your county to a friend in a similar situation? .. ( uj
3. Has the consumer directed support program met the expectations Exceeded Met Failed
Ex
that were set for you by your case manager and county social T ations
^i*" 0
1
Very
unlikely
"* Expectations
services department? • J3 • • • • •
A. What is the one thing that would have the greatest impact on your satisfaction with consumer directed
supports? ,_ ijjvJj^t/)Md^Uo^ U) /)/>/*) /7 ~" ' >
Thinking beyond consumer directed supports to your overall quality of lifeTon the following pages
i please indicate how much you agree or disagree with each statement. Please complete these sections
ufrom the perspective of the person with a developmental disability^ ^£perso1rt#ib has the IS
' ^ e v e l j ^
' 'iO^gPSgl Mobility/Control/Privacy
go.
I have control over my daily schedule
I have privacy to be alone or with people I choose...
Only people who are supposed to know my personal
information have access to it
I can decide about how I spend my money
»• I can make decisions that will affect my future •
^ ^ ^ ^ ^
| am satisfied with my current level of independence ... • a
'->'• -
• • • •