Survey Instructions

This survey will help us know if there is anything we can do to better meet the needs of people we support. Please  read each statement and choose one of the following responses:

Always: We consistently meet your expectations
Mostly: We meet your expectations most of the time
Sometimes: We meet your expectations only some of the time
Never: We are not meeting your expectations at all 

If you feel that the statement does not apply to your situation, you can mark it N/A (not applicable). There is space after each section for comments if you would like to explain your answer further. At the end of the survey, please click "Next" and "Done" to submit. 

Rights Protection and Promotion

Question Title

* 2. Rights Protection and Promotion

  Always Mostly Sometimes Never N/A
I feel that my/my loved one's rights are being respected.
I know how to request a review if I feel that my/ my loved one's rights are not being respected.
Dignity and Respect

Question Title

* 3. Dignity and Respect

  Always Mostly Sometimes Never N/A
I feel that staff treat me/ my loved one with dignity and respect.
I feel that staff treat friends and family members with dignity and respect.
Natural Support Networks

Question Title

* 4. Natural Support Networks

  Always Mostly Sometimes Never N/A
I feel that The Arc of Dutchess supports me/ my loved one to keep in contact with family and friends.
I feel that The Arc of Dutchess offers me/ my loved one enough social opportunities to enjoy with friends and to meet new people.
I feel that The Arc of Dutchess is helping me/ my loved one to be as involved in the community as I/they want to be.
I feel that when I/ my loved one wants to go somewhere, The Arc of Dutchess staff helps arrange transportation.
Protection from Abuse, Neglect, Mistreatment and Exploitation

Question Title

* 5. Protection from Abuse, Neglect, Mistreatment and Exploitation

  Always Mostly Sometimes Never N/A
I feel that The Arc of Dutchess is doing all they can to protect me/my loved one from abuse, neglect, mistreatment and exploitation.
I feel that when there are allegations of abuse, I trust The Arc of Dutchess to respond quickly and appropriately.
Best Possible Health

Question Title

* 6. Best Possible Health

  Always Mostly Sometimes Never N/A
I feel that The Arc of Dutchess is meeting my/ my loved one's health care needs.
Safe Environments

Question Title

* 7. Safe Environments

  Always Mostly Sometimes Never N/A
I feel that I am /my loved one is safe when receiving services at The Arc of Dutchess (whether at their home, or elsewhere).
When I am at The Arc of Dutchess sites, I feel that the buildings and grounds are safe and well kept.
Staff Resources and Supports

Question Title

* 8. Staff Resources and Supports

  Always Mostly Sometimes Never N/A
I feel that staff are doing their best to be supportive and positive when working with me/ my loved one.
I feel that staff are available to me/my loved one when needed.
I feel that staff communicate well, keep me informed, and listen to my concerns.
Positive Services and Supports

Question Title

* 9. Positive Services and Supports

  Always Mostly Sometimes Never N/A
I feel that I am involved in the development of my/my loved one's service plan (ISP).
I feel that the service plan focus's on my/my loved one's own goals in life.
I feel that The Arc of Dutchess provides the support that I/my loved one needs to reach personal goals.
I feel that when I/ my loved one is going through difficult times, The Arc of Dutchess staff remain positive, supportive and helpful.
I feel that, with the help of The Arc of Dutchess staff, I/ my loved one is reaching goals and seeing good results in life.
Continuity and Personal Security

Question Title

* 10. Continuity and Personal Security

  Always Mostly Sometimes Never N/A
I feel that there are enough staff who know my/ my loved one's needs.
I feel The Arc of Dutchess is doing their best to keep trusted staff.
I feel that The Arc of Dutchess is helping me/my loved one keep personal belongings safe.

T