Supported Residential Consumers Survey to Gauge Success in Integrating into the Community (SSO)

To our Supported Residential Consumers:
The purpose of this survey is to gauge how well supported consumers are integrating into their communities. In order to do this we need to know your opinions. Please answer the questions on this survey as candidly as you can by darkening the circle that best represents your answer. 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 at (609) 965-6871.

Thank you,

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

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* 1. I maintain regular contact with a mental health provider.

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* 2. I was hospitalized within the last year for mental health reasons.

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* 3. If hospitalized for mental health reasons, I was hospitalized at:

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* 4. I was hospitalized within the last year for physical health reasons.

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* 5. I participate in college, GED Courses, Certificate Programs or any vocational training.

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* 6. I have a paid job.

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* 7. I would like assistance with obtaining  employment.
[If you checked 'Agree', please contact your case worker for assistance.]

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* 8. I volunteer.

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* 9. I attend the following groups.

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* 10. I have a substance use disorder and have remained clean and sober.

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* 11. I participate in spiritual or religious activities.

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* 12. I participate in clubs or recreational activities.

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* 13. I have family contact.

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* 14. I receive assistance from friends and other natural supports.

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* 15. Peer support assists me in obtaining a greater level of independence.

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* 16. I hope I can gain a greater level of independence.

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* 17. I am satisfied with the level of support CODI provides.

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* 18. If a family member needed help, I would recommend CODI.

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* 19. CODI provides quality services.

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* 20. What additional services do you think would be beneficial to increasing your independence?

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