Nebraska Independent Living Center- Individual Satisfaction Survey (Vocational)
Caregiver/Staff
1.
What service(s) is being provided?
Adult Day
Habilitative Workshop
Habilitative Community Inclusion
Behavioral In-Home Habilitation
Medical In-Home Habilitation
Pre-Vocational
Enclave
Supported Employment
Other (please specify)
2.
My caregiver/staff provides positive reinforcement or praise when I complete a task or goal.
Strongly agree
Agree
Neither agree nor disagree
Disagree
Strongly disagree
3.
I am comfortable with my caregiver/staff and ask for assistance from my caregiver/staff whenever I need help.
Strongly agree
Agree
Neither agree nor disagree
Disagree
Strongly disagree
Current Progress,
0 of 10 answered