Annual Survey or Anytime for Feedback.

Thank you for taking the time to answer the questions below.   

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* 1. Please identify your current location where services are offered (Select all that apply)

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* 2. I identify as a:

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* 3. I am receiving my primary services through an IDD Provider program.

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* 4. I know who my assigned Provider Care Coordinator (PCC) or Qualified IDD Provider (QIDP) for ICF is and how to reach them in case of any problems or concerns.

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Darron Brown/ Tisha Pemberton/ Tony Norman

Darron Brown/ Tisha Pemberton/ Tony Norman

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* 5. I am included in developing my goals through a person-centered process with my Service Planning Team (SPT).

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* 6. Are the staff member(s) responsive to your questions or requests in a prompt manner?

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* 7. Do you know who is responsible to monitor your services received?

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* 8. Are you treated in a respectful, friendly and professional manner by staff members of Helen Farabee Centers?

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* 9. I am happy and satisfied with the services received.

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* 10. Has Helen Farabee Centers's services improved the quality of  life?

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* 11. Would you recommend our services to your friends or family?

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* 12. Is there anything else you would like to tell us about our services or staff members?

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