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Overall Satisfaction

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<strong>Overall</strong> <strong>Satisfaction</strong><br />

Given all the considerations, how satisfied are you with your<br />

consumer directed support program?<br />

How likely would you be to recommend a consumer directed<br />

support program in your county to a friend in a similar situation?<br />

Very<br />

satisfied<br />

1<br />

Neither satisfied<br />

nor dissatisfied<br />

Very<br />

dissatisfied<br />

B • • • • • •<br />

Very<br />

likely<br />

Has the consumer directed support program met the expectations EXCEEDED<br />

that were set for you by your case manager and county social<br />

— I<br />

Exp<br />

f tatlons<br />

Neither likely<br />

nor unlikely<br />

T<br />

Very<br />

unlikely<br />

• • • • • •<br />

Met<br />

Expectations<br />

1 — =<br />

FaUed<br />

Expectations<br />

services department? 13 • • • • • •<br />

What is the one thing that would have the greatest impact on your satisfaction with consumer directed<br />

supports? Iks. Mt^S^ fU. ^J^lp<br />

nleaefjrinri^ to your overall quality of life, on the following pages<br />

M U<br />

from THP 7 « C<br />

0 U A 9 R E E<br />

.J ° R D I S A G R E E W I T H E A C H S T A T<br />

* M E H T ! ^^M^M^onz<br />

from the perspective of the person with a developmental disabilitVfhe person who has the<br />

developmental disability should be directly involved In completing tt^^SS^^S^<br />

Independence Mobility / Control / Privacy Agree<br />

Strongly Somewhat<br />

I can (even if someone helps me because of my disability) get<br />

to where I want to go<br />

I have control over my daily schedule<br />

I have privacy to be alone or with people I choose<br />

Only people who are supposed to know my personal<br />

information have access to it<br />

I can make decisions that will affect my future<br />

I am satisfied with my current level of independence<br />

Disagree<br />

Neither Somewhat Strongly<br />

a • • •<br />

• • • •<br />

• • • a •<br />

a si • • •<br />

• • • •<br />

a a • •<br />

• • a •<br />

• • 13 a a

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