SCBDD Community Survey Question Title * 1. How familiar are you with the Shelby County Board of Developmental Disabilites? Very familiar - have had first-hand contact with the agency or have friends who have had first-hand contact with the agency Somewhat familiar - you know about the agency but you don't have any first-hand experiences Not familiar at all Do you have any additonal comments? Question Title * 2. How would you rank the quality of services provided by the Shelby County Board of Developmental Disabilities? Excellent Good Needs improvement Don't know Do you have any additional comments? Question Title * 3. In your opinion, are there any programs or services that need changed? Question Title * 4. Every government agency must make decisions about how it will spend money. When it comes to decisions about how they spend local tax dollars, do you think that the Shelby County Board of Developmental Disabilites does a good job, an average job or a poor job? Good job Average job Poor job Don't know Other (please specify) Question Title * 5. One reason for this survey is to ask residents to prioritize services provided by the Shelby County Board of Developmental Disabilities. For each service below, please rank its importance with 1 being the most important and 6 being the least important. 1 2 3 4 5 6 Early Intervention Services to families with children from newborn to age three who have developmental disabilities so they can improve their development. 1 2 3 4 5 6 Preschool Educational services (Shelby Hills Early Childhood Center) to children age three to five who have developmental disabilities to help prepare them for success in kindergarten. 1 2 3 4 5 6 Residential supports for adults with developmental disabilities who cannot live on their own or cannot live with family. 1 2 3 4 5 6 Services during the day for adults with developmental disabilities who are not employed in the community (Private day providers). 1 2 3 4 5 6 Services and supports to help people with developmental disabilities find and maintain community employment. 1 2 3 4 5 6 Transportation services to help children with developmental disabilities get to preschool. Question Title * 6. How do you currently receive most of your information about the Shelby County Board of Developmental Disabilities? Check all that apply. Local newspaper Local television stations Radio stations Shelby County Board of DD newsletters Shelby County Board of DD web site (www.shelbydd.org) Drive by and see facilities in community Shelby County Board of DD staff I don't receive any information at all about the agency Question Title * 7. Age of person receiving services from Shelby County Board of DD? 0 - 2 3 - 5 6-13 14-22 23-40 41 and older Question Title * 8. Do you have any other opinions or suggestions for the Shelby County Board of Developmental Disabilities? Question Title * 9. Would you like to leave your name to receive a follow-up phone call or email? If so, provide your information below. Name: Email Address: Phone Number: Done