Overall Satisfaction

Overall Satisfaction |
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n 0 r d i s s a t i s f i e d V e r y
Given all the considerations, how satisfied are you with your • ^f"-
consumer directed support program? O Q Q Q Q Q Q
How likely would you be to recommend a consumer directed
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your overall quality of life, on the following pages..
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agree or disagree with each statement. Please cdmptetethese s¥ctidris
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P °n w]th> developmental disability. The person Who has^the^
developmental disability should beUirectly involved incompleting this survey as* muchas^ssiBle?^ -
|Jjji®P6ndenCe I Mobility /Control /Privacy Agree Disagree
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.... I can (even if someone helps me because of my disability) get
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P acy to be alone or with people I choose...
fcOnly people who are supposed to know my personal
Very Neither likely Very
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support program in your county to a friend in a similar situation? .. Q Q Q Q Q Q Q
Has the consumer directed support program met the expectations Exceeded M e t Faued
that were set for you by your case manager and county social Expectations Expiations Emotion.
services department? Q r—| Q Q J—J Q
What is the one thing that would have the greatest impact on your satisfaction with consumer directed
supports? — . .....
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