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?
Very
satisfied
1
Neither satisfied
nor dissatisfied
Very
dissatisfied
• • • • r
•
Very
likely
1
3. Has the consumer directed support program met the expectations Exceeded
Expectations
Neither likely
nor unlikely
T
Very
unlikely
r
• • • • •
Met
Failed
Expectations Expectations
that were set for you by your case manager and county social
services department? • • • • • •
4. What is the one thing that would have the greatest impact on your satisfaction with consumer directed
supports? ,
Thinking beyond consumer directed^suppprts toybu^i>yerall quality, of life, on the followjn^^^p^i ^
please indicate howmuch you agree^or "disagree wjth each statement; Please completetheWsejctjpns
from the perspective of the person with a deyejopmental disability. The person who has^the^;
developmental disability should be directly involved in completing this survey as much as possfife^i K
Independence I Mobility/Control/Privacy Agree Disagree
Strongly Somewhat Neither Somewhat Strongly
1. I can (even if someone helps me because of my disability) get
to where I want to go • • • 53 •
2. I have control over my daily schedule Q Q T^l Q Q
3. I have privacy to be alone or with people I choose Q Q ])__| [__l CJ
4. Only people who are supposed to know my personal
information have access to it • y • • •
5. I can set desired outcomes (goals) for myself • h • • •
6. I can decide about how I spend my money Q Q Q Q
7. I can make decisions that will affect my future
8. I am satisfied with my current level of independence C__ Q ^ ^