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Community Survey
Thank you for taking the time to share your thoughts with us. Your input is so very valuable as we plan our future services and initiatives. This survey should take approximately 15-20 minutes to complete.
1.
What is your relationship to our Sycamore Services? (Select all that apply)
Individual receiving services
Family member/guardian of someone receiving services
Community partner
Healthcare provider
Educator
Employer
Family from another provider agency
Other (please specify)
2.
How long have you been connected with our organization?
Less than 1 year
1-3 years
4-6 years
7-10 years
More than 10 years
3.
Which of our services have you or your family member utilized in the past 2 years? (Select all that apply)
Residential Services
Children's Services
Day Services
Pre-Employment Transition Services
Employment Services
Recreational Therapy
ABA Services
Transportation
Does Not Apply
4.
On a scale of 1-5, how would you rate your overall satisfaction with our services?
1
2
3
4
5
1
2
3
4
5
5.
What aspects of our services have been most valuable to you or your family member?
6.
What challenges or barriers have you encountered when accessing our services?
7.
What additional services or supports would be helpful for you or your family member?
8.
What emerging needs do you see in the developmental disabilities community that our organization should address?
9.
How do you prefer to receive information from our organization?
Email
Text message
Phone calls
Social media
Postal mail
Website
Other (please specify)
10.
How often would you like to receive updates from our organization?
Weekly
Monthly
Quarterly
Annually
Only when there are important announcements
11.
What do you see as the most pressing issues facing the developmental disabilities community?
12.
How can our organization better serve the needs of individuals with developmental disabilities and their families?
13.
Would you be willing to help us build partnerships or collaborations? If so, how could your business, ideas, network, or connections support this work?
14.
What is your age range?
Under 18
18-24
25-34
35-44
45-54
55-64
65+
15.
What county do you reside in?
Adams
Allen
Bartholomew
Benton
Blackford
Boone
Brown
Carroll
Cass
Clark
Clay
Clinton
Crawford
Daviess
Dearborn
Decatur
DeKalb
Delaware
Dubois
Elkhart
Fayette
Floyd
Fountain
Franklin
Fulton
Gibson
Grant
Greene
Hamilton
Hancock
Harrison
Hendricks
Henry
Howard
Huntington
Jackson
Jasper
Jay
Jefferson
Jennings
Johnson
Knox
Kosciusko
LaGrange
Lake
LaPorte
Lawrence
Madison
Marion
Marshall
Martin
Miami
Monroe
Montgomery
Morgan
Newton
Noble
Ohio
Orange
Owen
Parke
Perry
Pike
Porter
Posey
Pulaski
Putnam
Randolph
Ripley
Rush
St. Joseph
Scott
Shelby
Spencer
Starke
Steuben
Sullivan
Switzerland
Tippecanoe
Tipton
Union
Vanderburgh
Vermillion
Vigo
Wabash
Warren
Warrick
Washington
Wayne
Wells
White
Whitley
16.
What is your primary language?
English
Spanish
French
Other (please specify)
17.
Looking ahead, what should we focus on to better support our teams and strengthen our impact?
18.
Would you be interested in participating in future focus groups or interviews about our future planning?
Yes
No
Other (please specify)
19.
If yes, please provide contact information so we may contact you.
20.
Do you have any additional comments or anything else you would like to share with Sycamore?