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OCEAN STATE CENTER FOR INDEPENDENT LIVING Consumer Satisfaction Survey

Consumer Satisfaction Survey 2020

Question Title

* 1. How did you hear about OSCIL? (Check all that apply)

Conference/Exhibit

Facebook

Family/Friend

Health Care Provider

Internet/Google Search

OSCIL Newsletter

Resident Services Coordinator

State Agency

Other Agency

Walk-in

Other (Please specify in the space below)

Please specify your above answers here:

Question Title

* 2. In which of the following service areas did you receive assistance from OSCIL? (Check all that apply.)

Advocacy Services

Assistive Devices

Deaf and Hard of Hearing Services

Covid-19 Related Services

Gift of Hearing Program (Hearing Aids)

Home Accessibility/Modifications

Housing Assistance

Independent Living Skills Training

Information and Referral

Nursing Home Transition

PCA Program

Peer Support

YMCA/OSCIL Connection

Youth Transition

Other

Other (please specify)

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* 3. Are you satisfied with the services you received from OSCIL?

Yes

N/A

Other (please specify)

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* 4. As a result of the services you received from OSCIL, have you achieved greater independence in your home and/or community?

Yes

N/A

Comments

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* 5. Did the OSCIL staff member(s) you worked with treat you with courtesy and respect and listen to your concerns?

Yes

N/A

Comments

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* 6. Are there other disability-related services you would like OSCIL to provide?

Yes

Please Specify

Question Title

* 7. Would you recommend OSCIL to your friends and family?

Yes

N/A

Comments

Question Title

* 8. What is your disability? (You may choose more than one)

Cognitive

Hearing

Mental/Emotional Health

Physical

Vision

Other (Explain in comments)

Other (please specify)

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* 9. Would you like to subscribe to OSCIL's email list to receive notifications of upcoming news and events? If so, please leave your email address below.

Yes (please enter your name & email address below)

No thanks.

Already subscribed

I do not use email.

Name & Email Address:

Question Title

* 1. How did you hear about OSCIL? (Check all that apply)

Question Title

* 2. In which of the following service areas did you receive assistance from OSCIL? (Check all that apply.)

Question Title

* 3. Are you satisfied with the services you received from OSCIL?

Question Title

* 4. As a result of the services you received from OSCIL, have you achieved greater independence in your home and/or community?

Question Title

* 5. Did the OSCIL staff member(s) you worked with treat you with courtesy and respect and listen to your concerns?

Question Title

* 6. Are there other disability-related services you would like OSCIL to provide?

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* 7. Would you recommend OSCIL to your friends and family?

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* 8. What is your disability? (You may choose more than one)

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* 9. Would you like to subscribe to OSCIL's email list to receive notifications of upcoming news and events? If so, please leave your email address below.

Question Title

* 10. Is there anything else you would like to share with us?