WNYIL, Inc. Taking Control Program Consumer/Employer Feedback Survey

Welcome to the Taking Control Program Consumer/Employer and Assistant Program Feedback Survey

This is your opportunity to tell us what is going right, what is going wrong, and how to make things better.

Please answer the following questions to help WNYIL make your experiences with the Taking Control Program the best they can be. If you wish for us to follow up with you personally on any of the concerns/issues you raised, please provide your name and contact information at the end of the survey. Otherwise, your responses will be strictly anonymous.

Question Title

* 1. Please identify the problems you encounter when you are recruiting for assistants (choose all that apply).

I am unable to develop “Help Wanted Flyers”

I am unable to disseminate help wanted flyers around my community

I am unable to place want ads into my community paper

I don’t know where to go to find assistants

I do not have any problems

Other (please specify)

Question Title

* 2. I need help… (choose all that apply).

knowing what questions to ask when conducting an interview

knowing my rights as a consumer/employer

finding a place to interview potential assistants

developing ways to evaluate assistants

terminating assistants

knowing how to correct assistants when they do something in a way I don’t want it to be done

keeping track of my allotted hours of service

keeping track of the time worked by my assistant(s)

reporting problems to the Taking Control staff

retaining assistants

I do not need help

Other (please specify)

Question Title

* 3. I would like to know…(choose all that apply).

how to retain assistants longer

what is covered in the assistant’s orientation

about the clock in and out procedures

Not applicable

Other (please specify)

Question Title

* 4. I lose my assistants because…(choose all that apply).

pay is too low

benefits are not good enough

there are not enough hours of work for them

the hours I need the assistant to work doesn’t work for the assistant’s schedule

there isn’t any public transportation for the assistant to get to my home

my care plan restricts what I want the assistant to do

I do not lose my assistants

Other (please specify)

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* 5. Please explain any other issue(s) you are having difficulty with regarding the Taking Control Program.

Question Title

* 6. Please explain any idea(s) you may have to help WNYIL make the Taking Control Program better for you.

Question Title

* 7. I would like to report to WNYIL, Inc. what I believe is a wrongful act of fraud, waste, or abuse of the Taking Control Program. Please contact me for further details using the contact information provided in Question 8.

Yes

Question Title

* 8. I would like a Taking Control Representative to contact me about a personal concern I have about my participation in the Taking Control program:

Name

Phone Number

Brief description of the concern you wish for Taking Control to resolve

Thank you for completing the Taking Control Feedback Survey.
Your responses will assist WNYIL in improving your interaction and experience with the Taking Control Program.

If you have witnessed fraud, waste, or abuse of the Taking Control Program please contact Tina Brown at tbrown@wnyil.org or our anonymous toll-free number 1-866-576-8042.