Monroe Housing Collaborative Customer Satisfaction Survey

1. Monroe Housing Collaborative Satisfaction Survey

Thank you for completing our satisfaction survey. Your feedback will allow us to provide better services to individuals with disabilities in our community.

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* 1. Please tell us who you are

I am an individual who received services through the Monroe Housing Collaborative

I am a family member of a person who received services through the Monroe Housing Collaborative

I am a Service Coordinator/Care Manager or individual who supports a person who received services through the Monroe Housing Collaborative

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* 2. Which of the following words would you use to Monroe Housing Collaborative services? Select all that apply.

Reliable

High quality

Useful

Unique

Good value for money

Overpriced

Impractical

Ineffective

Poor quality

Unreliable

Other (please specify)

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* 3. How Responsive have we been regarding your housing needs?

Extremely responsive

Very responsive

Somewhat responsive

Not so responsive

Not at all responsive

Not applicable

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* 4. Has the assistance from the Monroe Housing Collaborative had a positive impact on your:

	A Great Deal	Somewhat	Slightly	Not at all
Outlook on Life?	Outlook on Life? A Great Deal	Outlook on Life? Somewhat	Outlook on Life? Slightly	Outlook on Life? Not at all
Health?	Health? A Great Deal	Health? Somewhat	Health? Slightly	Health? Not at all
Relationship with family or friends?	Relationship with family or friends? A Great Deal	Relationship with family or friends? Somewhat	Relationship with family or friends? Slightly	Relationship with family or friends? Not at all
Level of stress?	Level of stress? A Great Deal	Level of stress? Somewhat	Level of stress? Slightly	Level of stress? Not at all
Ability to remain independent in the environment that you choose?	Ability to remain independent in the environment that you choose? A Great Deal	Ability to remain independent in the environment that you choose? Somewhat	Ability to remain independent in the environment that you choose? Slightly	Ability to remain independent in the environment that you choose? Not at all

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* 5. How would you describe your housing situation now?

I have moved to a place that is right for me.

I have moved to a place that is mostly right for me but there are a few things I would change.

I have moved to a place that is very different than I thought it was going to be.

I am still living in the same place, and I am happy with that decision.

I am still living in the same place and I still want to move.

Other (please specify)

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* 6. How has the assistance from the Monroe Housing Collaborative helped you to maintain your housing or to improve your housing situation?

A great deal

Somewhat

Slightly

Not at all

Other (please specify)

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* 7. Was the information provided by the Housing Liaison helpful in making choices about your housing?

Yes

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* 8. Did the service you received from the Monroe Housing Collaborative help you to find a new place to live?

Yes

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* 9. If you have moved to a new apartment, please respond to the following questions about your new home. This will help us when referring to this property in the future.

	Always	Most of the time	Sometimes	Rarely or Never	N/A
Are the common areas around your unit well maintained	Are the common areas around your unit well maintained Always	Are the common areas around your unit well maintained Most of the time	Are the common areas around your unit well maintained Sometimes	Are the common areas around your unit well maintained Rarely or Never	Are the common areas around your unit well maintained N/A
Are the locks on your unit door and the outside door in good condition and working properly?	Are the locks on your unit door and the outside door in good condition and working properly? Always	Are the locks on your unit door and the outside door in good condition and working properly? Most of the time	Are the locks on your unit door and the outside door in good condition and working properly? Sometimes	Are the locks on your unit door and the outside door in good condition and working properly? Rarely or Never	Are the locks on your unit door and the outside door in good condition and working properly? N/A
Is your unit and the property free of rodents, insects and other pests?	Is your unit and the property free of rodents, insects and other pests? Always	Is your unit and the property free of rodents, insects and other pests? Most of the time	Is your unit and the property free of rodents, insects and other pests? Sometimes	Is your unit and the property free of rodents, insects and other pests? Rarely or Never	Is your unit and the property free of rodents, insects and other pests? N/A
Are the common bathrooms, trash/recycling and laundry rooms well maintained?	Are the common bathrooms, trash/recycling and laundry rooms well maintained? Always	Are the common bathrooms, trash/recycling and laundry rooms well maintained? Most of the time	Are the common bathrooms, trash/recycling and laundry rooms well maintained? Sometimes	Are the common bathrooms, trash/recycling and laundry rooms well maintained? Rarely or Never	Are the common bathrooms, trash/recycling and laundry rooms well maintained? N/A
does the property management staff respond to service requests in a timely manner?	does the property management staff respond to service requests in a timely manner? Always	does the property management staff respond to service requests in a timely manner? Most of the time	does the property management staff respond to service requests in a timely manner? Sometimes	does the property management staff respond to service requests in a timely manner? Rarely or Never	does the property management staff respond to service requests in a timely manner? N/A
Does the property management staff respond to emergencies promptly?	Does the property management staff respond to emergencies promptly? Always	Does the property management staff respond to emergencies promptly? Most of the time	Does the property management staff respond to emergencies promptly? Sometimes	Does the property management staff respond to emergencies promptly? Rarely or Never	Does the property management staff respond to emergencies promptly? N/A
Does the property management staff treat you with respect and in a professional manner	Does the property management staff treat you with respect and in a professional manner Always	Does the property management staff treat you with respect and in a professional manner Most of the time	Does the property management staff treat you with respect and in a professional manner Sometimes	Does the property management staff treat you with respect and in a professional manner Rarely or Never	Does the property management staff treat you with respect and in a professional manner N/A
Does the property management staff handle issues and disagreements between residents appropriately?	Does the property management staff handle issues and disagreements between residents appropriately? Always	Does the property management staff handle issues and disagreements between residents appropriately? Most of the time	Does the property management staff handle issues and disagreements between residents appropriately? Sometimes	Does the property management staff handle issues and disagreements between residents appropriately? Rarely or Never	Does the property management staff handle issues and disagreements between residents appropriately? N/A

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* 10. If you moved, where are you currently living?

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* 11. When working with the Monroe Housing Collaborative, did the Housing Liaison:

	Always	Most of the time	Sometimes	Rarely or never
Treat you with respect?	Treat you with respect? Always	Treat you with respect? Most of the time	Treat you with respect? Sometimes	Treat you with respect? Rarely or never
Seem to understand your situation and needs?	Seem to understand your situation and needs? Always	Seem to understand your situation and needs? Most of the time	Seem to understand your situation and needs? Sometimes	Seem to understand your situation and needs? Rarely or never
Do a good job explaining the program requirements?	Do a good job explaining the program requirements? Always	Do a good job explaining the program requirements? Most of the time	Do a good job explaining the program requirements? Sometimes	Do a good job explaining the program requirements? Rarely or never
Make referrals to other appropriate services you may need?	Make referrals to other appropriate services you may need? Always	Make referrals to other appropriate services you may need? Most of the time	Make referrals to other appropriate services you may need? Sometimes	Make referrals to other appropriate services you may need? Rarely or never
Provide you with information that was useful in making housing choices?	Provide you with information that was useful in making housing choices? Always	Provide you with information that was useful in making housing choices? Most of the time	Provide you with information that was useful in making housing choices? Sometimes	Provide you with information that was useful in making housing choices? Rarely or never

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* 12. While working with Monroe Housing Collaborative, was the Housing Liaison:

	Always	Most of the time	Sometimes	Rarely or Never	N/A
Responsive in a timely manner?	Responsive in a timely manner? Always	Responsive in a timely manner? Most of the time	Responsive in a timely manner? Sometimes	Responsive in a timely manner? Rarely or Never	Responsive in a timely manner? N/A
Sensitive to your ethnic and cultural background	Sensitive to your ethnic and cultural background Always	Sensitive to your ethnic and cultural background Most of the time	Sensitive to your ethnic and cultural background Sometimes	Sensitive to your ethnic and cultural background Rarely or Never	Sensitive to your ethnic and cultural background N/A
Knowledgeable about available housing and services?	Knowledgeable about available housing and services? Always	Knowledgeable about available housing and services? Most of the time	Knowledgeable about available housing and services? Sometimes	Knowledgeable about available housing and services? Rarely or Never	Knowledgeable about available housing and services? N/A
Careful to maintain your confidentiality?	Careful to maintain your confidentiality? Always	Careful to maintain your confidentiality? Most of the time	Careful to maintain your confidentiality? Sometimes	Careful to maintain your confidentiality? Rarely or Never	Careful to maintain your confidentiality? N/A

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* 13. How likely is it that you would recommend Monroe Housing Collaborative to a friend or colleague?

NOT AT ALL LIKELY

EXTREMELY LIKELY

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* 14. Overall, how satisfied or dissatisfied are you with Monroe Housing Collaborative?

Very satisfied

Somewhat satisfied

Neither satisfied nor dissatisfied

Somewhat dissatisfied

Very dissatisfied

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* 15. If you were to recommend the Monroe Housing Collaborative to a friend, what would you say?

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* 16. If you will allow us to use your comments in our brochures or website, please provide your contact information.

Name

Address

Address 2

City/Town

State/Province

ZIP/Postal Code

Email Address

Phone Number

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* 17. Please choose what services you and/or any household members are currently receiving. (Choose all that apply)

Office of People with Developmental Disabilities (OPWDD)

Nursing Home Transition and Diversion (NHTD) Waiver

Traumatic Brain Injury (TBI) Waiver

Office of Mental Health

Head Start

Veterans Administration

Office of Alcoholism and Substance Abuse Services

I am not currently receiving services and/or do not know if I am eligible

Head Start

Other (please specify)