Empower Cherokee Caregiver Satisfaction Survey

This survey is to be filled out by anyone who provides care to individuals who attend CDTC. This survey is designed to assist us in providing the highest quality of service in a way that is expected by our stakeholders.  

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* 1. Please provide the following information (optional)

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* 2. Overall how satisfied are you with the care Empower Cherokee provides for the person in your care?

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* 3. How likely are you to recommend this program to someone you know?

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* 4. How satisfied are you with the quality of assistance/care provided by the staff of the Empower Cherokee for the individual in your care?

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* 5. How satisfied are you with the responsiveness of Empower Cherokee staff to your needs or concerns related to programming for the individual in your care?

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* 6. How satisfied are you the professionalism of Empower Cherokee staff?

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* 7. How satisfied are you with our ability to provide appropriate assistance to the needs of the individual in your care?

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* 8. How satisfied are you with the individualized care provided to people supported at Empower Cherokee?

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* 9. How satisfied are you with the safety of our program for the individual in your care?

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* 10. How satisfied are you with Empower Cherokee's ability help the person in your care achieve their goals as they are written in the Individual Support Plan?

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* 11. What services does Empower Cherokee provide to your loved one? (please select all that apply)

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* 12. How satisfied are you with the timeliness in which services are delivered to the individual in your care?

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* 13. I am satisfied with how often the person in my care has access to Community Activities through Empower Cherokee.

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* 14. Which of the following service options would you consider if they were offered?   Check all that apply

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* 15. What does Empower Cherokee do best for the person(s) in your care?

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* 16. What can Empower Cherokee improve upon for the person(s) in your care?

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