2020 Supported Individual Satisfaction Survey

Satisfaction Survey

Please fill out this survey to help us provide the best supports and services we can in a way that meets your needs.

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* 1. Do you like the services provided by Empower Cherokee?

Yes

Sometimes

No

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* 2. Are you given choices that are important to you?

Yes

Sometimes

No

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* 3. Do you enjoy participating in the activities offered at Empower Cherokee?

Yes

Sometimes

No

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* 4. Are you treated well by the staff at Empower Cherokee?

Yes

Sometimes

No

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* 5. Do you feel safe when you are at Empower Cherokee?

Yes

Sometimes

No

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* 6. Do you want to work?

Yes

Sometimes

I don't want to work

I have the job I want

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* 7. If you work do you have the job you want?

Yes

Sometimes

No

I don't want to work

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* 8. do you get help when you needed or wanted help at Empower Cherokee?

Yes

Sometimes

No

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* 9. Do you feel listened to by the staff at Empower Cherokee?

Yes

Sometimes

No

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* 10. Do you learn about health topics and self-preservation at Empower Cherokee?

Yes

Sometimes

No

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* 11. Do you participate in community activities as much as you would like to Empower Cherokee? (not including work)

Yes

Sometimes

No

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* 12. Do you learn about person-centeredness and self-advocacy at Empower Cherokee?

Yes

Sometimes

No

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* 13. Would you recommend Empower Cherokee to other people who may want the type of services we offer?

Yes

Maybe

No

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* 14. Does Empower Cherokee help you pursue your hopes and dreams?

Yes

Maybe

No

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* 15. In your own words, what are the things that you like most about Empower Cherokee?

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* 16. In your own words, what can Empower Cherokee do better?

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* 17. Address

Name

Email Address

Phone Number