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?
Very
satisfied
Very
likely
Neither satisfied
nor dissatisfied
Neither likely
nor unlikely
•j
V e i
T
dissatisfied
Very
unlikely
3 • • • • • •
Has the consumer directed support program met the expectations Exceeded
that were set for you by your case manager and county social ^T 3
'' 01
"
services department? FJ Q r~j Q J—J r~j Q
Met
Failed
Expectations -j Expectations
What is the one thing that would have the greatest impact on your satisfaction with consumer directed
supports? ^
Thinking beyond consumer directe^ your overall quality of life/on the folowing pages
please indicate how much you agree ondisagree with each statementf-pie^
from the perspective of the person with a developmental disability. The person who hasTthe
developmental disability should be directly involved in completing thbVurvey as much as p^shle' ~
JJJ^P^enc^ Mobillty, Control, Privacy Agree
T
Strongly Somewhat Neither
Disagree
Somewhat Strongly
1 can (even if someone helps me because of my disability) get
to where 1 want to go...
El
1 have control over my daily schedule. •
1 have privacy to be alone or with people 1 choose •
• •
_ •
_ •
•
•
•
•
•
•
Only people who are supposed to know my personal
information have access to it • • • a
1 can set desired outcomes (goals) for myself a
a • a
1 can decide about how 1 spend my money • _ • • •
1 can make decisions that wil affect my future • • • •
1 am satisfied with my current level of independence • • • •