Thank you for participating in the Riverside/Miami County Board of Developmental Disabilities survey. Your responses are very important to us, and we look forward to understanding your perceptions of us and your future needs.
 
We anticipate the survey will take approximately 10-15 minutes of your time. If you have any questions about this survey, please contact Stacy Pettit at 937.440.3089.  Thank you again for helping Riverside/Miami County Board of Developmental Disabilities prepare for the future. 

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* 1. What do you like most about your life in each of the following areas of your life?

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* 2. What is your biggest concern in each of the following areas of your life?

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* 3. What would make your life better in each of the following areas of your life?

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* 4. What stops you from having a better life?  Is there anything that stops you from getting what you need in life?

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* 5. What are your dreams for your life in each of the following areas?

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* 6. What Adult Day Services are you using today? (Please check all that apply)

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* 7. What Nursing Services are you using today? (Please check all that apply)

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* 8. What Residential Services are you using today? (Please check all that apply)

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* 9. What Other Services are you using today? (Please check all that apply)

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* 10. Do you have a paid service provider who helps you?

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* 11. How many days per week do you spend at home?

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* 12. How many days per week do you spend on a job in the community?

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* 13. How many days per week do you spend in group employment?

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* 14. How many days per week do you spend at an Adult Day Program?

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* 15. How many days per week do you spend attending school?

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* 16. What additional support could Riverside/Miami County Board of  Developmental Disabilities provide to help you achieve your dreams and become as independent as possible?

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* 17. What are the most important services Riverside/Miami County Board of Developmental Disabilities provides to support and assist you in achieving your dreams and in becoming as independent as possible?

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* 18. How well do you believe Riverside/Miami County Board of Developmental Disabilities fulfills its mission: "...to empower people with developmental disabilities to live, work, and play as full members of our community!"?

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* 19. What are Riverside/Miami County Board of Developmental Disabilities strengths?

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* 20. What are Riverside/Miami County Board of Developmental Disabilities weaknesses and/or barriers?

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* 21. During the past year, how often did you visit the Riverside/Miami County Board of Developmental Disabilities social media pages? (Facebook/Website)

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* 22. Overall, how satisfied are you with your familiarity with the services Riverside/Miami County Board of Developmental Disabilities offers?

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* 23. Overall, how satisfied are you that you receive the services and support that you need?

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* 24. Overall, how satisfied are you that Riverside/Miami County Board of Developmental Disabilities values your opinion when discussing issues that you face?

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* 25. Overall, how satisfied are you that you know whom to contact if you have a question?

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* 26. Overall, how satisfied are you with the frequency and quality of communication you receive from Riverside/Miami County Board of Developmental Disabilities?

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* 27. When working with Riverside/Miami County Board of Developmental Disabilities staff, how satisfied are you that the staff members treat you with courtesy and respect?

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* 28. When working with Riverside/Miami County Board of Developmental Disabilities staff, how satisfied are you that the staff members are knowledgeable and competent?

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* 29. When working with Riverside/Miami County Board of Developmental Disabilities staff, how satisfied are you that the staff members respond to your questions or concerns in a timely manner?

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* 30. When working with Riverside/Miami County Board of Developmental Disabilities staff, how satisfied are you that the staff members take time to listen and understand your concerns?

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* 31. When working with Riverside/Miami County Board of Developmental Disabilities staff, how satisfied are you that the staff members communicate with you effectively?

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* 32. What city, town, or township do you live?

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* 33. How long have you lived in Miami County?

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* 34. With whom do you live?

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* 35. Where do you live?

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* 36. What Is Your Age?

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* 37. What Is Your Gender?

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