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? ..
V e r y
satisfied
Neither satisfied
nor dissatisfied
V e l
T
dissatisfied
Very
likely
3. Has the consumer directed support program met the expectations Exceeded
that were set for you by your case manager and county social Expectations
Neither likely
nor unlikely
T
Very
unlikely
Met
Failed
Expectations Expectations
services department? UtKQ • • • • •
4. What is the one thing ng thaf-would th have the greatest-impact on your satisfaction with consumer directed
supports?
5.
6.
7.
8.
Thinking beyond consumer directecf supports to ^&WSSnl\Quality of life, on the following pages"
please indicate how much youfagl^ori'aisagree'wlSl^eaS^btement. Please completethese^sections
from tire perspective of the person with a developmental disability. The person who has the
developmental disability should be directly involved in^mpeting this survey as much asl^stoief'VSf
Independence | Mobility/Control/Privacy Agree Disagree
Strongly Somewhat Neither Somewhat Strongly
1. I can (even if someone hejps me because^ my disability) get
to where I want to go.. t^lWU. .^V f .XfclUfe . WMVS
2. I have control over i
3. I have privacy to be alone or with people I choose _\
4. Only people who are supposed to know my personal
information have access to it
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