Overall Satisfaction

Overall Satisfaction Neither satisfied
% e r y
satisfied .
nor dissatisfied
V e r
y
dissatisfied
1. Given all the considerations, how satisfied are you with your ry /
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consumer directed support program? LJ LJ LI LI LJ LJ
2. How likely would you be to recommend a consumer directed "f y y
Very Neither likely Very
tmeu
f aaiy unl
f ly
support program in your county to a friend in a similar situation? . . (^XJ • Q Q Q Q
3. Has the consumer directed support program met the expectations Exceeded Met Failed
that were set for you by your case manager and county social —
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t i o n s EsE££
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services department? [jj • Q Q Q Q Q
4. What is the one thing that would f have the greatest impact on your satisfaction with consumer directed
supports? ~ duvs__VV-V- Uvvk^\rsU^M
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beyond consumer directed sup_prts.to/yo^r6veMj cjliallty
pleaie indicate how much you "agreor'disagre wrtrfea^Tstetement. of life, on th
from the perspective of the personjwitha developmental disability. The compl
Please
developmental disability should'be directly involved inTOmpTeting survey much
this
!.n.-^!SPSJ?,^®nce | Mobility /Control /Privacy Agre
1. I can (even if someone helps me because of my disability) get
to where I want to go •
as
Disagre
Strongly Somewhat Neither Somewhat Strongly
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2. I have control over my daily schedule
.
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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.... . [_f LJ LJ LJ LJ
5. I can set desired outcomes (goals) for myself
6- I can decide about how I spend my money Q LJ LJ LJ
I can make decisions that will affect my future ar^ a a a a
o- I am satisfied with my current level of independence ... a car a • •