Empower Cherokee Caregiver Satisfaction Survey

This survey is to be filled out by anyone who provides care to individuals who attend CDTC. This survey is designed to assist us in providing the highest quality of service in a way that is expected by our stakeholders.  

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* 1. Overall how satisfied are you with the care Cherokee Day Training Center provides for the person in your care?

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* 2. How likely are you to recommend this program to someone you know?

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* 3. How satisfied are you with the quality of assistance/care provided by the staff of the Empower Cherokee for the individual in your care?

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* 4. How satisfied are you with the responsiveness of Empower Cherokee staff to your needs or concerns related to programming for the individual in your care?

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* 5. How satisfied are you the professionalism of Empower Cherokee staff?

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* 6. How satisfied are you with our ability to provide appropriate assistance to the needs of the individual in your care?

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* 7. How satisfied are you with the individualized care provided to people supported at Empower Cherokee?

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* 8. How satisfied are you with the safety of our program for the individual in your care?

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* 9. How satisfied are you with Empower Cherokee's ability help the person in your care achieve their goals as they are written in the Individual Support Plan?

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* 10. How satisfied are you with the timeliness in which services are delivered to the individual in your care?

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* 11. How much does the Empower Cherokee assist the person(s) in your care connect with people outside of the program?  Slide the scale with 0 being not at all and 100 being fully immersed in community activities.

0 (not engaged in the community at all) 50 (somewhat engaged in community activities) 100 (fully immersed in community activities)
i We adjusted the number you entered based on the slider’s scale.

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* 12. What does Empower Cherokee do best for the person(s) in your care?

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* 13. What can Empower Cherokee improve upon for the person(s) in your care?

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* 14. What services does Empower Cherokee provide to your loved one? (please select all that apply)

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* 15. Please provide the following information (optional)

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