Participant Satisfaction Survey

Participant Pulse

Thank you in advance for taking the time to fill out this survey. We are dedicated to providing the highest quality programs. We need your feedback to help us to understand your current needs, places we excel and areas we could improve on. Please only fill out one survey per household.

Question Title

* 1. How long have you been involved with The Arc Lane County?

< 1 year

1 - 2 years

2 - 5 years

5 - 10 years

> 10 years

Question Title

* 2. What program(s) do you currently participate in?

Employment Services

In-Home Services

JumpStart! Youth Program - After-school

JumpStart! Youth Program- Saturday

JumpStart! Youth Program- Summer

Stepping Out

Families Connected - Facebook Page

Families Connected - Co-op

Families Connected - Education/Support Group

Other (please specify)

Question Title

* 3. How did you find out about The Arc's services

Friend

Governmental Agency

Non-Profit Provider Agency

Website/Facebook

Other (please specify)

Question Title

* 4. From the following list, please select statements that best reflect your hopes for the individual The Arc serves (or yourself)

To have friends

Earn a high school diploma

Earn a college degree

Volunteer in the community

Gain community based employment

Live independently

Have a romantic relationship

Increase healthy choices