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Overall Satisfaction

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<strong>Overall</strong> <strong>Satisfaction</strong><br />

Very Neither satisfied<br />

.,/!-_.<br />

satisfied<br />

nor dissatisfied<br />

Given all the considerations, 5, how satisfied are you with your •/ _ i dissatisfied H<br />

consumer directed support program? • • • Q Q<br />

V E<br />

"7<br />

Very Neither likely Very<br />

How likely would you be to recommend a consumer directed "" >ru<br />

f ke<br />

' y<br />

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

Has the consumer directed support program met the expectations Exceeded Met Failed<br />

that were set for you by your case manager and county social<br />

E<br />

t i o P S<br />

^T/<br />

E x p c c a t i < > > s<br />

i '<br />

Expet<br />

f t<br />

" )ns<br />

services department? • • • • • •<br />

What is the one thing that, would have the greatest impact on your satisfaction with consumer directed<br />

supports?<br />

Thinking beyond consumer directs<br />

P L E A S E indicate how much ^SSPSt^^Sl^'^^<br />

from the P E R S P E C T I V E of T H E P J * ^<br />

jgdependence | Mobility /Control /Privacy Agree Disagree<br />

****<br />

Strongly Somewhat Neither Somewhat Strongly<br />

I can (even if someone helps me because of my disability) get<br />

to where I want to go Q Vj Q Q Q<br />

!. I have control over my daily schedule. Q Dl Q Q<br />

I have privacy to be alone or with people I choose L I Q Q O<br />

Only people who are supposed to know my personal • /<br />

information have access to it.,'-TV . . ] 2 K Q Q Q Q<br />

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

I can decide about how I spend my money "J^C [] Q Q Q<br />

I can make decisions that will affect my future Q Q Q Q<br />

I am satisfied with my current level of independence Q

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