Overall Satisfaction

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Overall Satisfaction NEITHER SATISFIED V T T V V E R Y NOR DISSATISFIED SATISFIED DISSATISFIED 1. GIVEN ALL THE CONSIDERATIONS, HOW SATISFIED ARE YOU WITH YOUR N N 5 6 N N N F L CONSUMER DIRECTED SUPPORT PROGRAM? —* —1 _J L J L J L J L J VERV NEITHER LIKELY VERY 2. HOW LIKELY WOULD YOU BE TO RECOMMEND A CONSUMER DIRECTED LIKELY N O R UNLIKELY -I UNLIKELV R SUPPORT PROGRAM IN YOUR COUNTY TO A FRIEND IN A SIMILAR SITUATION? . . [ ] [ ] [ ] fjj |~j p| 3. HAS THE CONSUMER DIRECTED SUPPORT PROQRAM MET THE EXPECTATIONS r^^d MET FADED , , KXPECTATIONS EXPECTATIONS EXPECTATIONS THAT WERE SET FOR YOU BY YOUR CASE MANAGER AND COUNTY SOCIAL — I _ ^ I SERVICES DEPARTMENT? • J J • ^ • • 4. WHAT IS THE ONE THING THAT WOULD HAVE THE GREATEST IMPACT ON YOUR SATISFACTION WITH CONSUMER DIRECTED SUPPORTS? THINKING BEYOND CONSUMER DIRECTED SUPPORTS TO YOUR overall quality of life, ON THE FOLLOWING PAGES PLEASE INDICATE HOW MUCH YOU AGREE OR DISAGREE WITH EACH STATEMENT. PLEASE COMPLETE THESE SECTIONS 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. Independence I Mobility/Control/Privacy AGREE Disagree M B H M O I I _ _ _ _ 1 _ _ _ B M | J STRONGLY SOMEWHAT NEITHER SOMEWHAT STRONGLY 1. I CAN (EVEN IF SOMEONE HELPS M E 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 M Y 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. • • • • • • • • • • • • • • • • • • • • • • • • • • • • • • •
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? Very satisfied Neither satisfied nor dissatisfied Very dissatisfied r • fru • • • • Very likely Neither likely nor unlikely T Very unlikely r &r/a • • • • • Failed Expectations 3. Has the consumer directed support program met the expectations that were set for you by your case manager and county social mat were set iur you uy yuui case manager ana county social Exceeded Expectations • . i Met Expectations • 1 services department? Q ST Q Q Q Q Q 4. What is the one thing that wouldtiave the greatest impact on your satisfaction with consumer directed supports? i A.U-/e. V^
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CONSUMER DIRECTED COMMUNITY SUPPORT
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Training is needed on how CDGS work
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