2018GeneralSurvey Question Title * 1. Date Completed Question Title * 2. What is the age range of the person who receives services? 17 & Under 18 - 27 28-37 38 - 47 48 - 57 58 - 67 68+ Question Title * 3. Survey completed by: Individual Family Advocate Staff Individual with support from staff Individual with support from family Question Title * 4. Overall how satisfied are you that Aspire supports you in pursuing your life goals? Always Usually Sometimes Infrequently Comments: Question Title * 5. How satisfied are you with the quality of Aspire's services? Always Usually Sometimes Infrequently Comments: Question Title * 6. Overall how satisfied are you with the staff at Aspire? Always Usually Sometimes Infrequently Comments: Question Title * 7. Are you comfortable with expressing concerns to Aspire staff? Always Usually Sometimes Infrequently Comments: Question Title * 8. Are you satisfied that Aspire staff address your concerns? Always Usually Sometimes Infrequently Comments: Question Title * 9. Is/Are the service(s) you receive from Aspire what you expected? Always Usually Sometimes Infrequently Comments: Question Title * 10. Does the service(s) you receive from Aspire meet your needs? Always Usually Sometimes Infrequently Comments: Question Title * 11. Did you participate in creating your Person Centered Plan? Yes No I don't know Comments: Question Title * 12. Who was involved in assisting you in your Person Centered Planning (check all that helped you)? Family Friends MSC Aspire Staff Managers Staff from another agency I don't know Comments: Question Title * 13. Does your Person Centered Plan address what is important to you? Always Usually Sometimes Infrequently Comments: Question Title * 14. Does your Person Centered Plan address what you need? Always Usually Sometimes Infrequently Comments: Question Title * 15. Do you have the proper adaptive equipment available to meet your needs? Always Usually Sometimes Infrequently N/A Comments: Question Title * 16. How often does Aspire staff provide information to you in a way you understand? Always Usually Sometimes Infrequently Comments: Question Title * 17. If you would like a personal response to your comments, please leave your name and phone number below. Question Title * 18. If you are interested in receiving surveys electronically, enter e-mail address below. Done