2008 Stakeholder Survey

Linking Employment, Abilities and Potential (LEAP) needs your feedback!
Referral sources, funders, employers, family members and other stakeholders are asked to answer these 10 questions about the quality of our services. Thanks you for your time!

1. Accessibility and Availability

	Excellent	Good	Satisfactory	Needs Improvement	Not Applicable
Ease of making referral to us	Accessibility and Availability Ease of making referral to us Excellent	Good	Satisfactory	Needs Improvement	Not Applicable
Accessibility and availability of services	Accessibility and availability of services Excellent	Good	Satisfactory	Needs Improvement	Not Applicable
Timeliness of staff communication of consumer/program information	Timeliness of staff communication of consumer/program information Excellent	Good	Satisfactory	Needs Improvement	Not Applicable

2. Program Quality

	Excellent	Good	Satifactory	Needs Improvement	Don't Know
Community Education	Program Quality Community Education Excellent	Good	Satifactory	Needs Improvement	Don't Know
Advocacy/Public Policy	Advocacy/Public Policy Excellent	Good	Satifactory	Needs Improvement	Don't Know
Life Skills training (Independent Living, Low Vision, Personal Adjustment, Disability Benefits Assistance,)	Life Skills training (Independent Living, Low Vision, Personal Adjustment, Disability Benefits Assistance,) Excellent	Good	Satifactory	Needs Improvement	Don't Know
Benefits Analysis	Benefits Analysis Excellent	Good	Satifactory	Needs Improvement	Don't Know
Community Employment	Community Employment Excellent	Good	Satifactory	Needs Improvement	Don't Know
Youth Development (Job Link, High School/High Tech)	Youth Development (Job Link, High School/High Tech) Excellent	Good	Satifactory	Needs Improvement	Don't Know
Training for home health care field (Attendant training, STNA, Dining Assistant)	Training for home health care field (Attendant training, STNA, Dining Assistant) Excellent	Good	Satifactory	Needs Improvement	Don't Know
Assistive Technology	Assistive Technology Excellent	Good	Satifactory	Needs Improvement	Don't Know

3. Consumer Information

	Excellent	Good	Satisfactory	Needs Improvement	Not Applicable
Achieved desired outcome	Consumer Information Achieved desired outcome Excellent	Good	Satisfactory	Needs Improvement	Not Applicable
Promotion of consumers self-determination/self-sufficiency	Promotion of consumers self-determination/self-sufficiency Excellent	Good	Satisfactory	Needs Improvement	Not Applicable
Usefulness of staff communication of consumer information	Usefulness of staff communication of consumer information Excellent	Good	Satisfactory	Needs Improvement	Not Applicable

4. Staff

	Excellent	Good	Satisfactory	Needs Improvement	Not Applicable
Courtesy	Staff Courtesy Excellent	Good	Satisfactory	Needs Improvement	Not Applicable
Professionalism	Professionalism Excellent	Good	Satisfactory	Needs Improvement	Not Applicable
Level of Cooperation	Level of Cooperation Excellent	Good	Satisfactory	Needs Improvement	Not Applicable
Appropriateness of our referral recommendation	Appropriateness of our referral recommendation Excellent	Good	Satisfactory	Needs Improvement	Not Applicable
Overall communication	Overall communication Excellent	Good	Satisfactory	Needs Improvement	Not Applicable

5. Overall Satisfaction

	Excellent	Good	Satisfactory	Needs Improvement	Not Applicable
Value of Service	Overall Satisfaction Value of Service Excellent	Good	Satisfactory	Needs Improvement	Not Applicable
Quality of Service	Quality of Service Excellent	Good	Satisfactory	Needs Improvement	Not Applicable
Effectiveness of Programs	Effectiveness of Programs Excellent	Good	Satisfactory	Needs Improvement	Not Applicable
Overall Satisfaction	Overall Satisfaction Excellent	Good	Satisfactory	Needs Improvement	Not Applicable

6. If you marked "Needs Improvement" please identify the program/area in which our services or staff can improve. Please add any suggestions you may have.

If you marked "Needs Improvement" please identify the program/area in which our services or staff can improve. Please add any suggestions you may have.

7. Please list the strengths of the agency, program (s) or staff

Please list the strengths of the agency, program (s) or staff

8. County in which your office is located (family members please indicate your county of residence)

County in which your office is located (family members please indicate your county of residence) Cuyahoga

Lorain

Erie

Huron

Lake

Geauga

Summit

Other (please specify)

9. Please let us know if you would like:

Please let us know if you would like: Program/service information (provide your address below). What are you interested in?
A response to a problem or concern (provide your contact information below). Please describe your concern.

10. The following information is optional unless you requested us to contact you or send information:

The following information is optional unless you requested us to contact you or send information: Name:
Title:
Phone:
Organization:
Address: