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The Arc of the South Shore -FAMILY AND GUARDIANS
1.
What is your relationship to the loved one receiving services?
Parent
Sibling
Caregiver
Friend
Guardian
Other (please specify)
*
2.
How long have they been receiving services from The Arc of the South Shore?
(Required.)
Less than 1 year
1-5 years
More than 5 years
*
3.
What do you appreciate most about the support your loved one receives?
(Required.)
*
4.
What suggestions do you have for improving the support your loved one receives?
(Required.)
*
5.
How well do you feel informed and included in planning related to your loved one’s services?
(Required.)
Always
Usually
Sometimes
Rarely
Never
Other (please specify)
*
6.
Are there any supports or programs you wish we offered?
(Required.)
Yes
No
Please specify
7.
Are there needs you see that we are not meeting right now?
Yes
No
Other (please specify)
8.
As we plan for the next 3–5 years, what are your hopes or priorities for our organization’s future?
Keeping great staff
More types of services and supports
Advocacy (help speak up for families and people with disabilities)
Better Communication and use of technology
Offer more staff training, teaching staff new skills
Easier access to assistive technology
Help with big life changes (e.g., school to adult services, residential to more independent living)
Offering more help for parents and caregivers
Services that respect all cultures and backgrounds
More fun, social and community activities
Find new partnerships or funding sources
Other (please specify)
9.
Is there anything else you'd like to share?
