Overall Satisfaction

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<strong>Overall</strong> <strong>Satisfaction</strong> J V e r y Neither satisfied nor dissatisfied J V e r y _ J satisfied dissatisfied Given all the considerations, how satisfied are you with your ' ^ ' _^ _ ' consumer directed support program? L_J__ LI LI U LI LI Very Neither likely Very How likely would you be to recommend a consumer directed ""'"f^ !^f— support program in your county to a friend in a similar situation? .. Q Q Q Q Q [] Has the consumer directed support program met the expectations Exceeded Met FaBed . . . . . , . . . . Expectations Expectations Expectations that were set for you by your case manager and county social ~rr- ^ services department? j_J • LI Q L_ LI LI ^/Vhat is the one thing that would have the.greatest impact on your satisfaction with consumer, directed supports? 4V_ c^rkJuhr 10 ^\A/\ |yr HUK daxjfjMtih) ruuLdJy dJ\Ci rhinking beyond consumer directed supports to your overall quality of life, on the following pages~ 5 Dlease indicate how much you agree or disagree with each statement. Please complete these sections from the perspective of the person with a developmental disability. The person who has the r KS developmental disability should be directly involved in completing this survey as much as possibler ^dependence | Mobility /Control /Privacy Agree Disagree •_____•__________________! Strongly Somewhat Neither Somewhat Stroi Strongly a 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 • • • a I have privacy to be alone or with people I choose • • _ • a Only people who are supposed to know my personal information have access to it. • • • a I can set desired outcomes (goals) for myself a • a & I can decide about how I spend my money • • • • I can make decisions that will affect my future • • • a I am satisfied with my current level of independence • • • •
OveralTSa^ V e r y satisfied Neither satisfied nor dissatisfied e r y dissatisfied Given all the considerations, how satisfied are you with your ' ^ ' ' consumer directed support program?
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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 HMWHFFTIyggaww
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^flsfaction ^derations, how satisfi
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action ations, how satisfied are yo
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Overall Satisfaction

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