Overall Satisfaction

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? ..
3. Has the consumer directed support program met the expectations
that were set for you by your case manager and county social
services department?
Very
satisfied
1
J
Neither satisfied
nor dissatisfied
Very
dissatisfied
T
• m • • • • •
Very Neither likely Very
likely
• a •
nor unlikely
• • •
unlikely
•
T
Exceeded
Expectations
Met
Expectations
Failed
Expectations
• SI • • • • •
What is the
one thing that would have the greatest impact on your satisfaction with consumer directed
supports?
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- Please complete these
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SCIONS
from the perepeotive of the person with a developmental disability. The person who HAS the
developmental disability should be directly involved in completing this survey ^smuch AS
Independence | Mobility, Control, Prjvacy Agree D. sagree
1. I can (even if someone helps me because of my disability) qet
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 my personal
information have access to it
5.
6.
7.
8.
can decide about how I spend my money .....
can make decisions that will affect my future
am satisfied with my current level of independence
Strongly Somewhat Neither Somewhat Strongly
a a • •
• 3 ® • • •
• • • a
• a • •
• • • •
m • • • •
• • • •
• a • •