2026 NJ Stakeholder Survey

Question Title

1. Please indicate your affiliation with Capitol Care: (Required.)

Social/Case worker

Service Provider

Family and/or Guardian

Medical Professional

Support Coordinator

Other (please specify)

Question Title

2. Please check the program(s) provided by Capitol Care that you are involved with: (Required.)

Day Habilitation

Residential Group Home

Supportive Apartments

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3. Do you feel our staff conduct themselves in a professional manner? (Required.)

Yes

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4. Are you satisfied or dissatisfied with Capitol Care's facilities? (Required.)

Very Satisfied

Somewhat Satisfied

Somewhat dissatisfied

Very dissatisfied

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5. When you contact the Agency, is your call responded to appropriately and within a timely fashion? (Required.)

Yes

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6. When you made a referral to our Agency services, were you satisfied with our intake process? (Required.)

Very Satisfied

Somewhat Satisfied

Somewhat Dissatisfied

Very Dissatisfied

Comments:

Question Title

7. Do you feel Capitol Care values Cultural Diversity? (Required.)

Yes

Other (please specify)

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* 1. Please indicate your affiliation with Capitol Care: (Required.)

Question Title

* 2. Please check the program(s) provided by Capitol Care that you are involved with: (Required.)

Question Title

* 3. Do you feel our staff conduct themselves in a professional manner? (Required.)

Question Title

* 4. Are you satisfied or dissatisfied with Capitol Care's facilities? (Required.)

Question Title

* 5. When you contact the Agency, is your call responded to appropriately and within a timely fashion? (Required.)

Question Title

* 6. When you made a referral to our Agency services, were you satisfied with our intake process? (Required.)

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* 7. Do you feel Capitol Care values Cultural Diversity? (Required.)

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* 8. Do you have any further recommendations for our agency? (Required.)

1. Please indicate your affiliation with Capitol Care: (Required.)

2. Please check the program(s) provided by Capitol Care that you are involved with: (Required.)

3. Do you feel our staff conduct themselves in a professional manner? (Required.)

4. Are you satisfied or dissatisfied with Capitol Care's facilities? (Required.)

5. When you contact the Agency, is your call responded to appropriately and within a timely fashion? (Required.)

6. When you made a referral to our Agency services, were you satisfied with our intake process? (Required.)

7. Do you feel Capitol Care values Cultural Diversity? (Required.)

8. Do you have any further recommendations for our agency? (Required.)