Exit this survey
Enrollee Services
1
. I am satisfied with the services I receive.
I am satisfied with the services I receive.
Strongly Agree
Agree
Neutral
Disagree
Strongly Disagree
Comments
2
. My needs are addressed promptly.
My needs are addressed promptly.
Strongly Agree
Agree
Neutral
Disagree
Strongly Disagree
Comments
3
. Staff treats me and my family with kindness and respect.
Staff treats me and my family with kindness and respect.
Strongly Agree
Agree
Neutral
Disagree
Strongly Disagree
Comments
4
. The goals and activities in "My Plan" are what I want and are important to me.
The goals and activities in "My Plan" are what I want and are important to me.
Strongly Agree
Agree
Neutral
Disagree
Strongly Disagree
Comments
5
. I received information about the services available to me.
I received information about the services available to me.
Strongly Agree
Agree
Neutral
Disagree
Strongly Disagree
Comments
6
. Additional Comments (Likes/Dislikes):
Additional Comments (Likes/Dislikes):
7
. Name (optional)
Name (optional)
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