Overall Satisfaction

Overal 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
support program in your county to a friend in a similar situation?
Very
satisfied
Very
likely
E x c e e d e d
3. Has the consumer directed support program met the expectations „
that were set for you by your case manager and county social
services department?
Neither satisfied
nor dissatisfied
Neither likely
nor unlikely
Very
dissatisfied
Very
unlikely
Met
Failed
Expectations
a •
Expectations
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Expectations
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4. What is the one thing that would have the greatest impact on your satisfaction with consumer directed
supports? . „4 r M
pninking beyond consumer directed supports to your overall quality of life, on the followingJ^es^ *
please indicate how much you agree or "disagree with each statement. Please complete^mesesections
I|from the perspective of the person with a developmental disability. The person who hasfhe -XifrJevelopmental
disability should be directly involved in completing this survey as much as possible/ * - -.
lJ2^®P®J^®n^J Mobility/Control/Privacy
I have control over my daily schedule
I have privacy to be alone or with people I choose.
I Only people who are supposed to know my personal
information have access to it
I can decide about how I spend my money
,1 am satisfied with my current level of independence
Agree Disagree
Strongly Somewhat Neither Somewhat Strongly
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