Copy of Copy of Customer Satisfaction Survey
VITAL Services, Inc. is conducting a survey to improve the quality of our services.
1.
How long have you been affiliated with VITAL Services Inc.?
Less than six months
Six months to a year
1 - 2 years
More than 2 years
I am not a customer
2.
How satisfied are you with your line of communication with VITAL Services, Inc?
Extremely satisfied
Very satisfied
Somewhat satisfied
Not so satisfied
Not satisfied at all
Other (please specify)
3.
Do you know whom to contact when an issue or question arises?
Yes
No
Other (please specify)
4.
Do you feel that your concerns are responded to in a timely fashion?
Yes
No
Other (please specify)
5.
Do you feel that VITAL staff, managers, coordinators, and directors are friendly and respectful to you and/ or the participant in services?
Yes
No
Other (please specify)
6.
Do you feel that staff, managers, coordinators, and directors are "team players" in the ISP process, willing to cooperate and meet team expectations and requests?
Yes
No
Other (please specify)
7.
Do you feel that VITAL Services, Inc is meeting your needs or the needs of the participant receiving services?
Yes
No
Other (please specify)
8.
Do you feel the physical environment where you live or work or where the participant lives or works is kept in good condition, is clean and is safe?
Yes
No
Other (please specify)
9.
Do you feel that VITAL services, Inc. is providing you an opportunity for choice or giving the participant an opportunity to have a choice in how her/his daily life in constructed?
Yes
No
Other (please specify)