Overall Satisfaction

., .
very
satisfied
T
nor dissatisfied Very
dissatisfied
IFVEN AL THE CONSIDERATIONS , HOW SATISFIED ARE YOU WITH YOUR -
.CONSUMER DIRECTED SUPORT PROGRAM? • •13 • • • •
Very
likely
—I
Neither likely
nor unlikely
LOWLIKEIY WOULD YOU BE TO RECOMMEND A CONSUMER DIRECTED
1
J SORT PROGRAM IN YOUR COUNTY TO A FRIEND IN A SIMILAR SITUATION?
Very
unlikely
• • M • • • •
IAS'THE CONSUMER DIRECTED SUPORT PROGRAM MET THE EXPECTATIONS Exceeded Met
Expectations LAFWERE SET FOR YOU BY YOUR CASE MANAGER AND COUNTY SOCIAL Expectations
*"*1CES DEPARTMENT?
• LACRJ • • • •
Failed
Expectations
JFHAI IS THE ONE THING THAT : WOILDHAVE THE PREATE^MPACT ON YOUR SATISFACTIPN WITH CONSUMER
supports? _
4-
^94® Y
°"I C
° NSUMER
^ D
^ R
FPL E
A s
MPPorts to YOUR overall quality of life, ON THE Mowing[PAGES 5
INDICATE how MUCH YOU AGRE OR DISAGRE with EACH STATEMENT. Please COMPLETETHESE SE
jrfimperspectiye of the person with a developmental disability. The PERSON who haVtfie *
TBSRNJENTAL DISABILITY SHOULD BE DIRECTLY INVOLVED IN COMPLETING this SURVEY AS MUCH aTR38sfte
ydependence |
Mobility / Control / Privacy
AN (EVEN IF SOMEONE HELPS ME BECAUSE OF MY DISABILITY) GET
LAVE
>??P ,E
WHO ARE SUPOSED TO KNOW MY PERSONAL
ITORMATION HAVE ACCES TO IT...
IN
(.DECIDE ABOUT HOW I SPEND MY MONEY
Agree
Strongly Somewhat Neither
Disagree
Somewhat Strongly
• a • •
• • • •
• • • •
• a • •
• • a •
• • OF • •
• • a •
• • a •
- JJF ^* JFFLJ
"