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Overall Satisfaction

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Dverall <strong>Satisfaction</strong> Neither satisfied<br />

^ e<br />

<br />

satisfied<br />

nor dissatisfied ^<br />

dissatisfied<br />

liven al the considerations, how satisfied are you with your<br />

onsumer directed suport program? LJ £J LJ LJ LJ<br />

Verv Neither likely Very<br />

ow likely would you be to recomend a consumer directed<br />

nor<br />

jport jports? hat is the one thing that would have the greatest impact on your<br />

program in your county to a friend in a similar situation? .<br />

iat as were the consumer set for directed you by suport your program case manager met the and expectations county social ~n<br />

speeded<br />

,, , - . | Expectations Expectations Expectations<br />

ervices department? • K] • • LJ •<br />

linking ase indicate beyond how consumer much directed you agre suports or to disagre your with each statement. on th<br />

overall quality of life,<br />

jvelopmental Dm the disability should be directly involved in completing person this who survey has<br />

perspective<br />

Agre Disagre<br />

to 1 can where (even 1 want if someone to go helps me because of my disability) get<br />

• • • El •<br />

1 have control over my daily schedule • • • •<br />

1 have privacy to be alone or with • people • 1 • chose El •<br />

Only information people have who aces are suposed to it to know my personal<br />

* • • • •<br />

1 can set desired outcomes (goals) for • myself • • •<br />

1 can decide about how 1 spend my • money • • • a<br />

1 can make decisions that wil afect • my future • • • la<br />

1 am satisfied with my curent level of • independence • • •<br />

of the person with a developmental disability. The<br />

Independence I Mobility/Control/Privacy<br />

mjmr—h^Baagm^^mmammimiOJtM Strongly Somewhat Neither Somewhat Strongly

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