Service Provider Survey | Restoring Hope, LLC

Thank you for allowing Restoring Hope to be your service provider. We appreciate the opportunity!

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* 1. My relationship with Restoring Hope is...

Individual that receives services

Guardian for an individual that receives services

Family member of an individual that receives services

Support Coordinator

If Other (please specify)

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* 2. What service(s) do you receive from Restoring Hope? Check all that apply.

Host Home

Individualized Supported Living (ISL)

Day Program (Excel)

Out-of-Home Respite

In-Home Respite

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* 3. How satisfied are you with the services you receive from Restoring Hope?

Very satisfied

Satisfied

Neither satisfied nor dissatisfied

Dissatisfied

Very dissatisfied

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* 4. I am treated with courtesy and respect by Restoring Hope staff.

Always

Usually

Sometimes

Rarely

Never

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* 5. How responsive do you feel Restoring Hope is to your needs?

Extremely responsive

Very responsive

Somewhat responsive

Not so responsive

Not responsive at all

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* 6. Would you recommend Restoring Hope services to others?

Yes

Service Provider Survey | Restoring Hope, LLC

Question Title

* 1. My relationship with Restoring Hope is...

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* 2. What service(s) do you receive from Restoring Hope? Check all that apply.

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* 3. How satisfied are you with the services you receive from Restoring Hope?

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* 4. I am treated with courtesy and respect by Restoring Hope staff.

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* 5. How responsive do you feel Restoring Hope is to your needs?

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* 6. Would you recommend Restoring Hope services to others?

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* 7. What region are you located in?

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* 8. Do you have any additional feedback or suggestions you would like to share?