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1-848-213-5445
Clients Satisfaction Survey
Who are you? (Select One)
DDD-ID
1. Do you know who your support coordinator is? Does your support coordinator call to check up on you?
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2. When you ask for services or changes, do things get done quickly?
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3. Do the people who help you work well together?
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4. Have you ever had trouble getting services because there weren’t enough staff or helpers?
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5. Does your support coordinator know a lot of people and programs that can help you?
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6. My support coordinator is resourceful and knowledgeable (hint - gives me choices, and enough information to help me make better decisions)
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7. I feel comfortable discussing issues with my support coordinator (hint - respectful to my culture, language and identity)
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8. My support coordinator helps me when I need some self-direction.
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9. Do you know your rights (what you can say yes or no to) when getting services?
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10. Has your support coordinator explained what you are responsibilities being part of the DDD waivers?
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11. Do you feel safe?
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12. Do you know who to call if you feel unsafe or if something bad happens?
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13. Are you working on your goals and making progress?
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14. Are you happy with your support coordinator and the services you get?
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What is your Support Coordinator doing well?
What are some things you’d like your Support Coordinator to do differently?
Submit
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