Overall Satisfaction

OVERALL SATISFACTION
1. Given all the considerations, how satisfied are you with your
consumer directed support program?
2. How likely would you be to recommend a consumer directed
V e r y
satisfied
Neither satisfied
nor dissatisfied
V e r y
dissatisfied
i$u • • • • •
Very Neither likely Very
likelv nor unlikely unlikely
-r 1 r
support program in your county to a friend in a similar situation? . . ^ [ Q [ ) [ ] [ ] [ ] [ ]
3. Has the consumer directed support program met the expectations Exceeded Met FAUED
.. . , . . . . Expectations Expectations Expectations
that were set for you by your case manager and county social ~~r— "-i ^
services department? 3 • • Q Q • •
4. What is the one thing that would have the greatest impact on your satisfaction with consumer directed
S U P P O R T S ? T7n. r-^^/rm IT svn^Js^ VK^ r w i /7^-r~ A
Thinking BEYOND CONSUMER DIRECTED SUPPORTS TO YOUR overall quality of life, on THE FOLLOWING PAGESII .
please INDICATE HOW MUCH YOU AGREE OR DISAGREE WITH EADTSTAFEMENT. Please COMPLETE THESE SECTIONS
FROM THE perspective of the person with a developmentaldisability. The PERSON WHO HAS THE
DEVELOPMENTAL DISABILITY SHOULD BE DIRECTLY INVOLVED IN ROMPIETING THIS survey AS MUCH AS POSSIBLE.
INDEPENDENCE I Mobility/Control/Privacy Agree Disagree
Strongly Somewhat Neither Somewhat Strongly
• f. I.. O U„. KT„:«I CnnuiiiW Qtm
1. I can (even if someone helps me because of my disability) get
to where I want to go
2.
3.
4. Only people who are supposed to know my personal
information have access to it
5. I can set desired outcomes (goals) for mys(
6. I can decide about how I spend my money
8.
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