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Member Satisfaction Surveys 2026
1.
Please select your Life Alliance office location.
Wilkes
Surry
Iredell
Watauga
Forsyth
Macon
2.
Life Alliance employee arrives and leaves on time.
Strongly agree
Agree
Disagree
Strongly disagree
3.
Life Alliance employee notifies member/guardian when they are unable to work.
Strongly agree
Agree
Disagree
Strongly disagree
4.
Life Alliance employee follows treatment plan/runs goals as specified.
Strongly agree
Agree
Disagree
Strongly disagree
5.
Life Alliance employee is professional in appearance and performance.
Strongly agree
Agree
Disagree
Strongly disagree
6.
Life Alliance employee receives adequate training.
Strongly agree
Agree
Disagree
Strongly disagree
7.
Life Alliance employee receives adequate supervision from QP.
Strongly agree
Agree
Disagree
Strongly disagree
8.
Member/guardian has adequate communication with QP.
Strongly agree
Agree
Disagree
Strongly disagree
9.
Life Alliance office staff is courteous and helpful.
Strongly agree
Agree
Disagree
Strongly disagree
10.
Member rights are respected at all times by Life Alliance employees and staff.
Strongly agree
Agree
Disagree
Strongly disagree
11.
Life Alliance provides services in a safe and healthy manner.
Strongly Agree
Agree
Disagree
Strongly Disaree
12.
Member goes out into the community five (5) or more times per week.
Strongly agree
Agree
Disagree
Strongly disagree
13.
Member has received a medical health checkup in past 12 months.
Strongly agree
Agree
Disagree
Strongly disagree
14.
Member has goals related to positive health outcomes (healthy foods, exercise, etc).
Strongly agree
Agree
Disagree
Strongly disagree
15.
My CLS goals are person-centered.
Strongly agree
Agree
Disagree
Strongly disagree
Member does not have authorized CLS services
16.
Member AFL goals are person-centered.
Strongly agree
Agree
Disagree
Strongly disagree
Member does not have authorized Residential Supports services
17.
My primary caregiver receives adequate breaks from Respite services.
Strongly agree
Agree
Disagree
Strongly disagree
Member does not have authorized Respite services
18.
Overall, I am satisfied with the services I receive from Life Alliance.
Strongly agree
Agree
Disagree
Strongly disagree
19.
Please use the space below to share any additional comments, including explanations for your responses or feedback not covered in the survey.
Thank you for your participation!!!