If you have received services or supports within the last three years through a program funded by the New York State Developmental Disabilities Planning Council, we would like you to complete the NYS DDPC Consumer Satisfaction Survey.

It is important that the NYS DDPC knows what impact NYS DDPC-funded programs have had on your life. Your input will assist us in making NYS DDPC-funded programs even better, and will help us to further-improve the delivery of services and supports to individuals with disabilities and their families.

After completing the survey you will be directed back to the NYS DDPC Website.

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* 1. Project Activity

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* 2. Please select the category that best describes you.

PLEASE SELECT "YES" OR "NO" FOR EACH OF THE FOLLOWING THREE QUESTIONS:

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* 3. I (or my family-member) was treated with respect during this project activity.

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* 4. I (or my family-member) have more choice and control as a result of this project activity.

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* 5. I (or my family-member) can do more things in the community as a result of this project activity.

PLEASE SELECT THE ANSWER WHICH BEST DESCRIBES YOUR OPINION:

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* 6. I am satisfied with the project activity.

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* 7. My life is better because of this project activity.

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* 8. What has been helpful or not helpful about this project?

THE FOLLOWING ARE OPTIONAL QUESTIONS TO BE USED WHEN A PROJECT ACTIVITY INCLUDES RIGHTS AND PROTECTION ISSUES.

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* 9. Because of this project activity, I (or my family member) know my rights.

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* 10. I (or my family member) am more able to be safe and protect myself from harm as a result of this project activity.

Thank you for taking the NYS DDPC Consumer Satisfaction Survey. Click "Done" to submit your answers.

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