Homeward Bound Consumer Satisfaction Survey

1.I am satisfied with the residence and the physical living environment.(Required.)
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
Not Applicable
2.I am confident that appropriate care, treatment, and safety are being provided.(Required.)
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
Not Applicable
3.I am satisfied with the training of direct care staff.(Required.)
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
Not Applicable
4.I am satisfied with the training of nursing staff.(Required.)
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
Not Applicable
5.I am satisfied with supervisor of the house.(Required.)
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
Not Applicable
6.HBI responds to my questions and concerns in a timely manner.(Required.)
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
Not Applicable
7.I know the appropriate house level leadership to contact for the person I represent.(Required.)
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
Not Applicable
8.I can approach HBI's corporate management with any questions or concerns.(Required.)
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
Not Applicable
9.I am treated with respect by HBI staff members.(Required.)
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
Not Applicable
10.I feel the person I represent has the opportunity to participate in activities they enjoy.(Required.)
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
Not Applicable
11.Homeward Bound can improve services by:
12.Select the service site your are responding about.(Required.)
13.Please identify your role.(Required.)
14.Name (Optional)