Overall Satisfaction

Overall Satisfaction
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?
satisfied
Neither satisfied
nor dissatisfied
V e r
y
dissatisfied
T T
® • • • • • •
Very
likely
Has the consumer directed support program met the expectations Exceeded
that were set for you by your case manager and county social
Neither likely
nor unlikely
T
Very
unlikely
21 • • • • • •
E x p
" t a t i o n s
Met Failed
Expectations Expectations
services department? §Q [Jj Q Q Q Q Q
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
alease indicate how much you agree or disagree with each statement. Please complete these sections
rom the perspective of the person with a developmental disability. The person who has the
developmental disability should beTdirectly involved in completing this survey as'much as possible.
hidepend^ncej Mobility / Control / Privacy Agree Disagree
Strongly Somewhat Neither Somewhat Strongly
I can (even if someone helps me because of my disability) get
to where I want to go*.
I have control over my daily schedule
Only people who are supposed to know my personal
information have access to it
I can decide about how I spend my money
I can make decisions that will affect my future
a m
satisfied with my current level of independence
• • • •
m • • • •
• • • •
a • • • •
• • • •
• • • •
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