Client Satisfaction Survey 2022 Question Title * 1. What is your relationship with the person receiving services? I am the person receiving services I am the guardian and completing on behalf of the person receiving services Question Title * 2. Gender of the person receiving services Male Female Non Binary other Choose not to respond Question Title * 3. AID Program where person receives services Residential/ Supervised Living – BH Residential/ Supported Living – BH Behavioral Health Out-Patient –Adults Behavioral Health Out-Patient –Children Behavioral Health CST Services Home-Based Services-DD Employment Services Community Day Services – DD Residential/ Supervised (CILA/ICF DD) -DD Residential/ Supported (ICILA)– DD Victim Services and Street Outreach Question Title * 4. Is your Plan (including your goals) at AID based on your interests and needs? Yes No Somewhat Not Applicable Question Title * 5. Are AID staff respectful and courteous in how they treat you? Yes No Somewhat Not Applicable Question Title * 6. Is it easy to set up a meeting or appointment with AID staff? Yes No Somewhat Not Applicable Question Title * 7. Do you have a caring relationship in your life with someone other than AID staff? Yes No Somewhat Not Applicable Question Title * 8. Do you feel happy and safe in the place where you live? Yes No Somewhat Not Applicable Question Title * 9. Are you satisfied with how AID helps you achieve your personal health goals? Yes No Somewhat Not Applicable Question Title * 10. Have you been offered alternative activities due to Covid restrictions to participate in when in person activities were not possible? Yes No Somewhat Not Applicable Question Title * 11. Do you have a paid job in the community? Yes No Question Title * 12. If No, do you want a paid job in the community? Yes No Question Title * 13. Overall, are you satisfied with the services you receive from AID? Yes No Somewhat Not Applicable Question Title * 14. Has AID met your needs during the Covid-19 pandemic? How could we better assist you? Question Title * 15. What barriers to service have you experienced? Question Title * 16. Do you have any additional comments or feedback for AID Staff? Done
