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?
Has the consumer directed support program met the expectations Exceeded
that were set for you by your case manager and county social Expectations
V
Neither satisfied
9
* nor dissatisfied
V e r
y
satisfied
• a • • • •
dissatisfied
•
T T
Very Neither likely Very
likely
nor unlikely unlikely
• • • • •
Met
Failed
Expectations j Expectations
services department? g| Q • • • Q Q
What is the one thing that would have the greatest impact on your satisfaction with consumer directed
supports? -jh C&U^j p~ IJLP "TAe srr^nMo tuUt^ // JJL.
SBl n
9 beyond consumer directed supports to your overall quality of life, on the following pages \
•lease indicate how much you agree or disagree with each statement. Please complete "theseTectionsT*
•SSUfe perspective of the person with a developmental disability. The person who has the
leyeiopmentai disability should be directly involved in competmg ths survey as much as possible.
JjJ^PP
e r |
denCe | Mobility / Control / Privacy Agree Disagree
I can (even if someone helps me because of my disability) get
Strongly Somewhat Neither Somewhat Strongly
to where I want to go Q Q Q Q|
I have control over my daily schedule a • • •
t
......a • • • •
I have privacy to be alone or with people I choose....
fi"Only people who are supposed to know my personal
si
^information have access to it Qfr Q CI Ql Ul
I can set desired outcomes (goals) for myself • a Q Q Q
I can decide about how I spend my money Q Q Ql Ql
I can make decisions that will affect my future • • a • •
j am satisfied with my current level of independence ... • a • • •