Overall Satisfaction

Overall Satisfaction
1. Given all the considerations, how satisfied are you with your
consumer directed support program?
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
a • • • • • •
Very
likely
3. Has the consumer directed support program met the expectations Exceeded
, . . . Expectations
Neither likely
nor unlikelv
Very
unlikely
1
3 • • • • • •
Met
Expectations
Failed
Expectations
that were S set wwi for 1W» you J WW by WJ your j ww« case WW.WW manager • • iw*i iw.w,wi and w*i county iw wwwi • social +j wwwa*>*> ~T .
services
department? 12 • • • • • •
4. What is the one thing that would have the greatest impact on your satisfaction with consumer directed
supports? iSO^W O^a^'Z^cl 4- U^ejl iOt cvw a a.-^CL " " '
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Thinking beyond consumer directed supports to your overafl quality of life, on the following pages .
please inciicatle^ Please complete thes^sgctions
from the perspective of the person with a developmental disability. The person who has the - 1
developmental disability should be directly involved in completing this survey as much as possible.
Independence | MobHUy/Control/Privacy
. v
Strongly Somewhat Neither Somewhat Strongly
1.
I can (even if someone helps me because of my disability) get
to where I want to go . • ..... IS • • • •
2. £l • • • •
3. • • • •
4.
5.
Only people who are supposed to know my personal
information have access to it...;
I can set desired outcomes (goals) for myself
sr •
•
•
•
•
•
•
•
6.
7.
I can decide about how I spend my money
I can make decisions that will affect my future
I am satisfied with my current level of independence
a
•
•
•
•
•
•
•
•
•
•
•
•
CO