Medicaid Service Coordinator Satisfaction Survey
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1. Default Section

The Center for Family Support would like to obtain feedback from you regarding your satisfaction with Medicaid Service Coordination provided to you or your loved one. Please complete this survey.

1. Are you happy with the service coordinator who is working with you or your family member?

Are you happy with the service coordinator who is working with you or your family member? YES

2. Has your service coordinator helped to obtain services that you or your family member has requested?

Has your service coordinator helped to obtain services that you or your family member has requested? YES

3. Is it easy to get in touch with your service coordinator?

Is it easy to get in touch with your service coordinator? YES

4. How often does the service coordinator visit you or your family member?

How often does the service coordinator visit you or your family member? Once a month

More than once a month

Less than once a month

5. Do you participate in service planning meetings every six months?

Do you participate in service planning meetings every six months? YES

6. Do you receive a written copy of the Individualized Service Plan following the meeting?

Do you receive a written copy of the Individualized Service Plan following the meeting? YES

7. What are some of the things that the service coordinator has helped you with?

What are some of the things that the service coordinator has helped you with?

8. Consumer Name (optional)

Consumer Name (optional)

For questions or to discuss any information shared in this survey, please contact Linda Schellenberg, Director of Community Services at 212-629-7939 ext 217.

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Medicaid Service Coordinator Satisfaction SurveyExit this survey