FY23 ADRC Client Satisfaction Survey

KIPDA strives to ensure that we are providing quality resources and assistance to the community. We want your input about your experience with the Aging & Disability Resource Center (ADRC). Thank you!

Question Title

* 1. What is your age?

Under 17 years old

18-24 years old

25-34 years old

35-44 years old

45-54 years old

55-64 years old

65-74 years old

75 years or older

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* 2. What is your gender?

Female

Male

Other

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* 3. Which race/ethnicity best describes you? (Please choose only one.)

American Indian or Alaskan Native

Asian / Pacific Islander

Black or African American

Hispanic

White / Caucasian

Other (please specify)

Question Title

* 4. What was the name of the ADRC Specialist that assisted you?

Lisa

Shelia

Shantrece

Brittney

Other (please specify)

Question Title

* 5. How did you first hear about the Aging & Disability Resource Center?

Friend, Neighbor, Relative

Physician or Hospital

Home Health Agency

Newspaper/ Newsletter

Radio

Resource Fair

Website

Brochure, Flyer, Business Card

Other (please specify)

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* 6. How long did you wait to hear from someone after contacting the ADRC office?

Same day

Next day

3-5 days

Longer than 5 days

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* 7. What was the main reason you contacted the ADRC?

Caregiver information

Help in the home

Transportation

Medicare Benefits (SHIP)

Housing Options

Medicaid Wavier Services

Community Resources

Other (please specify)

Question Title

* 8. Do you feel the ADRC Specialist you spoke with...

	No, I don't think so	I'm not sure, I still have questions	Yes, I think so
Listened carefully to what you wanted?	Listened carefully to what you wanted? No, I don't think so	Listened carefully to what you wanted? I'm not sure, I still have questions	Listened carefully to what you wanted? Yes, I think so
Understood what you wanted?	Understood what you wanted? No, I don't think so	Understood what you wanted? I'm not sure, I still have questions	Understood what you wanted? Yes, I think so
Explained things to you in a way that you can understand?	Explained things to you in a way that you can understand? No, I don't think so	Explained things to you in a way that you can understand? I'm not sure, I still have questions	Explained things to you in a way that you can understand? Yes, I think so
Was knowledgeable about the services and information you asked about?	Was knowledgeable about the services and information you asked about? No, I don't think so	Was knowledgeable about the services and information you asked about? I'm not sure, I still have questions	Was knowledgeable about the services and information you asked about? Yes, I think so
Was courteous and respectful?	Was courteous and respectful? No, I don't think so	Was courteous and respectful? I'm not sure, I still have questions	Was courteous and respectful? Yes, I think so

Question Title

* 9. Overall

	No, I don't think so	I'm not sure, I still have questions	Yes, I think so
Was the information you received clear?	Was the information you received clear? No, I don't think so	Was the information you received clear? I'm not sure, I still have questions	Was the information you received clear? Yes, I think so
Was the information you received helpful?	Was the information you received helpful? No, I don't think so	Was the information you received helpful? I'm not sure, I still have questions	Was the information you received helpful? Yes, I think so
Would you call the KIPDA ADRC again in the future?	Would you call the KIPDA ADRC again in the future? No, I don't think so	Would you call the KIPDA ADRC again in the future? I'm not sure, I still have questions	Would you call the KIPDA ADRC again in the future? Yes, I think so