Thank you for participating in this survey. Your feedback is essential to understanding the satisfaction and stability of Shared Living Providers in Vermont. The survey should take approximately 10 minutes to complete. Please be assured that all responses are anonymous and will be used solely for the purpose of improving services and support for Shared Living Providers. Individual responses will not be identified in any reports or publications resulting from this survey.

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* 1. What Agency do you provide shared living support for? (Check all that apply- 2 max)

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* 2. Which program are you a shared living provider for?

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* 3. Number of years you have been a shared living provider in total, across all individuals you've served.

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* 4. What attracted you to becoming a shared living provider? (Check all that apply)

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* 5. What are the reasons you continue to be shared living provider? (Check all that apply)

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* 6. How long do you anticipate continuing as a shared living provider?

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* 7. If you indicated that you plan to leave your role as a shared living provider within the next five years, please explain why? (Check all that apply and/or provide specific examples)

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* 8. What are the challenges, if any, you experience as a shared living provider? (Check all that apply and/or provide specific examples)

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* 9. What types of support would enhance your role as a shared living provider?

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* 10. What are the supports you most value from the team? (check all that apply)

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* 11. On a scale of 1 to 10, how satisfied are you with your role as a shared living provider? (1 being very unsatisfied, 10 being very satisfied.)

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* 12. What improvements would you recommend to enhance the shared living provider experience in Vermont?

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* 13. Demographic Information (Optional)

  Select one:
Age Group

T