Satisfaction Survey for Support Services Only (SSO)

CAREER OPPORTUNITY DEVELOPMENT, INC. (CODI)
901 Atlantic Ave, Egg Harbor City, NJ 08210

The purpose of this survey is to gauge how satisfied consumers are with CODI services. In order to do this, we need to know your opinions. You do not have to identify yourself, but you may if you wish.

 If you have any questions please call Paul D’Acunto, Quality Improvement Specialist, at (609) 965-6871.

Thank you,

Linda Carney        Taran Winchester                             Sarai Southrey
President / CEO    Quality Improvement Coordinator    Vice President of Residential Services 
ACTIVITIES

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* 1. A variety of activities are available.

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* 2. I am encouraged to participate in planning activities.

STAFF

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* 3. Staff is helpful, friendly, and polite.

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* 4. Staff respects my opinion and input.

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* 5. Staff teaches me about my illness.

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* 6. Staff listens when I have concerns.

SERVICES

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* 7. I actively participate in developing my Habilitation/Treatment/or Service Plan.

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* 8. I understand my rights including the grievance procedure. 

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* 9. Staff is sensitive to my cultural and/or religious beliefs.

OVERALL SATISFACTION

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* 10. The program meets my needs.

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* 11. I am more independent now that before I came to CODI.

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* 12. I would recommend the program to others. 

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* 13. Please rate the overall quality of services.

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* 14. What do we do best?

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* 15. What can we improve?

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* 16. Consumer's Name (optional)

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