Overall Satisfaction

Overall 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
support program in your county to a friend in a similar situation?
3. Has the consumer directed support program met the expectations
Neither satisfied
eT
V C I
J nor dissatisfied 7
satisfied dissatisfied
Very Neither likely Very
likely
3 • •
nor unlikely unlikely
— I
T
• • • • ~r
Exceeded
Expectations
Met
Expectations
Failed
Expectations
that were set for you by your case manager and county social ,
services department? • Q Q Q Q
4. What is the one thing that would have the greatest impact on your satisfaction with consumer directed
supports? OTorV, ^y-r.i'.Wftrv^ O n PnaQn*
_L5L mors If
Thinking beyond consumer directed supports to your overall quality of tifej on the following pages^
please indicate how much you agree ordisagre'e with each stajenientJ Please complete these^sectioris
from the perspective of the person with a developmental disability .The person who has the~: - ~;->
developmental disability should be directly involved in completing this survey as much as possible, r
Independence I Mobility
/ Control / Privacy Agree Disagree
Strongly Somewhat Neither Somewhat Strongly
1.
or
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 • • • •
CO
I have privacy to be alone or with people I choose. • • a • •
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 .. . •