Overall Satisfaction

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J! 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 T Very likely ~r Has the consumer directed support program met the expectations Exceeded . . . • . • i Expectations that were set for you by your case manager and county social ~n services department? Neither satisfied nor dissatisfied Neither likely nor unlikely J J J B J J G Met Expectations Very dissatisfied T Very unlikely T Failed Expectations 4 What is the one thing that would have the greatest impacbon your satisfaction) with consumer directec supports? WFN^| Qn T(UA -fr^np Job wffh 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 ffrom 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 Strongly Somewhat Neither Somewhat Strongly T1. 1 can (even if someone helps me because of my disability) get to where 1 want to go • 1 B • • • 22. 1 have control over my daily schedule • I I • • • 33. 1 have privacy to be alone or with people 1 choose • 1 B • • • 44. Only people who are supposed to know my personal information have access to it. • 1 B • • • £5. 1 can set desired outcomes (goals) for myself • 1 • • • £33. 1 can decide about how 1 spend my money • 1 B • • • 77. 1 can make decisions that will affect my future • V B • • • §B. 1 am satisfied with my current level of independence • E 1 • • •
Overall Satisfaction j Very satisfied —I Neither satisfied nor dissatisfied 1/ Very dissatisfied T > Given all the considerations, how satisfied are you with your ^ ~ consumer directed support program? (__ _] _J —1 _] _] Very likely Neither likely nor unlikely >. How likely would you be to recommend a consumer directed , support program in your county to a friend in a similar situation? .. [ ) _ • • • • • • Has the consumer directed support program met the expectations Exceeded Very unlikely Met Failed Jphat were set for you by your case manager and county social Expectations Expectations __ r„ Expectations ^'services department? JJ| Q Q _J Q —J Q ^ What is the one thing that would have the greatest impact on your satisfaction with consumer directed & P RRVP*Y\///II4Y ufnri^ R FYF^ BEYOND CONSUMER DIRECTED SUPPORTS TOYPVQVERALL QUALITY OF LIFE, on the FOLLOWING PAGV TEASE.IND.CATE how much YOU AGREE OR DISAGRER WITH"EACH STATEMENT. Please c o r n ^ JBMTH^PERSPECTIVE OF THE PERSON WITH A DEYELOPMJNTAL DISABILITY. The PERSON WHO HASYH GVELOPMENTAL DISABILITY SHOULD BE DIRECTLYINVOLVED Trfcompfetihg this SURVEY AS MUCFAFPBSLIB^ dependence j Mobility / Control / Privacy dean (even if someone helps me because of my disability) get |to where I want to go . .have Privacy to be alone or with people I choose... PP|Y people who are supposed to know my personal Agree Strongly Somewhat Neither T Disagree Somewhat Strongly A • • KL • A • • B • • • • & • • A A a • A • • • C_ A • • • ® • • A p • • • •
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CONSUMER DIRECTED COMMUNITY SUPPORT
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Training is needed on how CDGS work
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Overall Satisfact 1. Given all the
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Overall Satisfaction 1 Given all th
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OVERALL SATISFACTION m Neither sati
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OVERALL SATISFACTION Given all the
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O v e r a l l S a t i s f a c t i o
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OVERALL SATISFACTION NEITHER .SATIS
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OVERALL SATISFACTION Given all the
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OVERALL SATISFACTION H . K MBMiTi«
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Overall Satisfaction j Neither sati
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Neither satisfied V e r y nor dissa
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OVERALL SATISFACTION _ 1. Given all
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O V E R A L L S A T I S F A C T I O
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Overal Satisfaction 1. Given all th
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Overall Satisfaction HMWHFFTIyggaww
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Overall Satisfaction 1. Given ail t
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Overall Satisfaction 1. consumer Gi
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^flsfaction ^derations, how satisfi
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Dverall Satisfaction Neither satisf
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action ations, how satisfied are yo
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Overall Satisfaction GIVEN ALL THE
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L>,erall Satisfaction k - -e' the d
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Overall Satisfaction | 1. Given all
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Given all the considerations, how s
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Overall Satisfaction 1. consumer Gi
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Overall Satisfaction | • • •
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Bêrall Satisfaction How likely wou
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^g^fall Satisfaction 1 1 Given all
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Overall Satisfaction

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