Overall Satisfaction

Overall Satisfaction
HBHMMHnaHMBBHMBBaanaBJi y Neither satisfied
satisfied nor dissatisfied
Given all the considerations, how satisfied are YOU with your "~T" •—• ^JF^
consumer directed support program? N£J Q Q Q Q Q Q
V e r
y
Very Neither likely Very
How likely would you be to recommend a consumer directed
support program in your county to a friend in a similar situation? .. • • • • • •
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f* "orunnkeiy , mi i k e| V
Has the consumer directed support program met the expectations Exceeded M e t Fatted
that were set for you by your case manager and county social Expectations Expectations Expectation
services department? ^ Q Q Q Q Q Q
RPPORTS 1
? t h i n 9 t h a t W O U l d h a V e t h e
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greatest impact on your satisfaction with consumer directed
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pverall quality of Hfe^ bnjhe following pages
jcate how much you agreeor disagree with^each statemenrpiel^complete sections
. P^Pe^tei* % personwith a developmental disability. .The person who has the
developmental disability should be directly involved in completing this smvey^as* much as possible. *"
pnaependencei Mobility/Control/Privacy Agree D
S A 9 L
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*GJ^^^^^^^«J*GU^J * * Strongly Somewhat Neither Somewhat Strongly
I can (even if someone helps me because of my disability) 9 e
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TO where I want to go ; Y£L
, I have control over my daily schedule. Q
i have privacy to be alone or with people I choose.... ...... •
WOrily people who are supposed to know my personal \r-/C
^[information have access to it
: I can set desired outcomes (goals) for myself •
5 I can decide about how I spend my money
-"Mean make decisions that will affect my future
TARN satisfied with my current level of independence
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