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
support program in your county to a friend in a similar situation?
Neither satisfied
Very
• d
nor dissatisfied
satisfied
1 dissatisfied
• • • • •
Very Neither likely Very
• d
likely ( nor unlikely unlikely
j
• • • • •
3. Has the consumer directed support program met the expectation
that were set for you by your case manager and county social ~~ r
i —^-^~y- 1
i
services department? • • • GJ • • •
Exceeded Met Failed
Expectations Expectations Expectations
4. What is the one thing that would have the greatest impact on your satisfaction with consumer directed
supports?
Mi
Thinking beyond consumer directed_ supports to your overall quality of life, on the following pages
.please indicate how much you agree or disagree with each statement. Please complete these sections
;from the perspective of the person with a developmental disability. The person who has the
^developmental disability should be directly involved in completing this survey as much as possible.
Independence I Mobility/Control/Privacy Agree Disagree
•••BH^HHHi^HMBIIH Strongly Somewhat Neither Somewhat Strongly
1. I can (even if someone helps me because of my disability) get
to where I want to go (t^
2. I have control over my daily schedule.
' 3. I have privacy to be alone or with people I choose...