Overall Satisfaction

Overall Satisfaction
v
Neither satisfied
satisfied nor dissatisfied
s a n s t l e d
Given all the considerations, JERAUONS, now how satisfied are you with your r-
consumer directed
support program? _ f U • • • Q
How likely would you be to recommend a consumer directed
V c r
*
dissatisfied
T
•
Very Neither likely Very
lik
f Iy
norunukeiy
support program in your county to a friend in a similar situation? .. Of • • • Q • •
Has the consumer directed support program met the expectations
. , . . . . •
Exceeded
Expectations
Met
Expectations
Faded
Expectations
that were set for you by your case manager and county social \ / —
services department?
What is the one thing that would have the greatest impact on your satisfaction with consumer directed
supports?
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TO YOUR OVERALL QUALFTY OF LIFE, ON THE FOLLOWING PAGES :
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o r d l s a r e e w i t h e
9
a c h
^ n e h t P L E A W C O M ^
D
?YJ*'PPNIENTAL DISABILITY. THE PERSON WHO HAS THE. t
LEVELOPMENTAL DISABILITY SHOULD BE DIRECTLY INVOLVED IN COMPLETING T^SURVEY &m33R&~afflEBr
independence I Mobility /Control /Privacy Agree Disagree
•———— Strongly Somewhat Neither Somewhat Strongly
I CAN (EVEN IF SOMEONE HELPS M E BECAUSE OF M Y DISABILITY) GET
TO WHERE I WANT TO GO. .\A.\S. S.f.S££tt. yCr\pftVf?n£^T
I S ft PFZ-OSL^FA VA_L^_,
I u — •
J1 HAVE PRIVACY TO BE ALONE OR WITH PEOPLE I CHOOSE.
I ONLY PEOPLE WHO ARE SUPPOSED TO KNOW MY PERSONAL
j I can decide about how I spend my money ?£gSw*T-
11 can make decisions that will affect my future
y* m
satisfied with my current level of independence Q
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