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OCEAN STATE CENTER FOR INDEPENDENT LIVING
Consumer Satisfaction Survey
Consumer Satisfaction Survey 2022-23
1.
Where did you hear about OSCIL? (Check all that apply)
Conference/Exhibit/Workshop
Facebook/OSCIL Web Page
Family/Friend
Healthcare Provider
Internet/Google
OSCIL Newsletter
Resident Service Coordinator
State Agency
Other Agency
Walk-in
Other
For "Other" please explain
2.
In which of the following service areas did you receive assistance from OSCIL? (Check all that apply.)
Advocacy Services
Received Assistive Devices
Communication Assistance
Deaf and Hard of Hearing Services
Gift of Hearing Program (Hearing Aids)
Home Accessibility/Modifications
Housing Assistance
Independent Living Skills Training
Information and Referral
Insurance Assessment
Nursing Home Transition
PCA Program
Peer Support
Youth Transition
Technology and/or Training Services
Adaptive Sports
Other (please specify)
3.
Do you feel our services were provided to you in a timely manner?
Yes
No
Comments
4.
Are you satisfied with the services you received from OSCIL?
Yes
No
N/A
Comments:
5.
As a result of your involvement with OSCIL, do you feel you have achieved greater independence in your home and/or community?
Yes
No
Not yet, still working with OSCIL.
Comments
6.
Did the OSCIL staff member(s) you worked with treat you with respect and listen to your concerns?
Yes
No
N/A
Comments
7.
What is name of the staff member who assisted you?
8.
Are there other disability-related services you would like OSCIL to provide?
Yes
No
Please Specify
9.
Would you recommend OSCIL to your friends and family?
Yes
No
N/A
Comments
10.
What is your disability? (Check all that apply.)
Cognitive
Mental Health/Emotional
Physical
Hearing
Vision
Other (Explain in comments)
Other (please specify)
11.
Are there any other programs or services that you need but have been unable to find in Rhode Island, If yes, please list them below:
Yes
No
Comments
12.
Would you like to subscribe to OSCIL's email list to receive notifications of upcoming news and events? If so, please leave your email address below.
Yes (please enter your email address below)
Already Subscribed
No thanks
I do not use email.
Email Address:
13.
You may leave your name and contact information below. It is not mandatory.
Name
Address
City/Town
State/Province
ZIP/Postal Code
Email Address
Phone Number
