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Consumer Satisfaction Survey - DC26

1.Please indicate the services you now receive or have received in the past from Disability Connections.  Check all that apply.(Required.)
2.Disability Connections' Staff treated you in a friendly, caring and respectful manner.(Required.)
3.Disability Connections' services were provided in a timely manner.(Required.)
4.Disability Connections' Staff encouraged you to make decisions so you can live more independently.(Required.)
5.Disability Connections' services met your needs.(Required.)
6.Disability Connections' services gave you enough information to make informed decisions.(Required.)
7.I am satisfied with services provided by Disability Connections.
8.Optional - Based on your experience, what could the Center do to improve services?
9.Optional - Please provide the name(s) of Disability Connections' staff who assisted you with services.
10.Optional - Please enter your contact information.