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OCEAN STATE CENTER FOR INDEPENDENT LIVING

Consumer Satisfaction Survey 2017 - Deadline for Submission is November 25, 2017

Question Title

* 1. In which of the following service areas did you receive assistance from OSCIL? (Check all that apply.)

Advocacy Services

Received Assistive Devices

Communication

Deaf and Hard of Hearing Services

Gift of Hearing Program (Hearing Aids)

Home Accessibility/Modifications

Housing Assistance

Independent Living Skills Training

Information and Referral

Nursing Home Transition

PCA Program

Peer Support

YMCA/OSCIL Connection

Youth Transition

Other (please specify)

Question Title

* 2. Are you satisfied with the services you received from OSCIL?

Yes

N/A

Comments:

Question Title

* 3. As a result of your involvement with OSCIL, do you feel you have achieved greater independence in your home and/or community?

Yes

N/A

Comments

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* 4. Did the OSCIL staff member(s) you worked with treat you with respect?

Yes

N/A

Comments

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* 5. Are there other disability-related services you would like OSCIL to provide? If so please explain.

Yes

Please Specify

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* 6. Would you recommend OSCIL to your friends and family?

Yes

N/A

Comments

Question Title

* 7. What is your disability? (You may choose more than one)

Cognitive

Mental Health/Emotional

Physical

Hearing

Vision

Other (Explain in comments)

Other (please specify)

Question Title

* 8. Where did you hear about OSCIL? (Check all that apply)

Family/friend

State Agency (Specify which one in comments)

Other Agency (List in comments)

OSCIL Newsletter

Facebook

Internet

Conference Exhibit

Walk-in

Resident Services Coordinator

Other

Please specify your above answers here:

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* 9. Are there other disability-related services that are needed in RI but are not currently available? If yes, please explain in comments.

Yes

Comments

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* 10. Would you like to subscribe to OSCIL's email list to receive notifications of upcoming news and events? If so, please leave your email address below.

Yes (please enter your email address below)

No thanks.

I do not use email or already on list.

Email Address:

Question Title

* 1. In which of the following service areas did you receive assistance from OSCIL? (Check all that apply.)

Question Title

* 2. Are you satisfied with the services you received from OSCIL?

Question Title

* 3. As a result of your involvement with OSCIL, do you feel you have achieved greater independence in your home and/or community?

Question Title

* 4. Did the OSCIL staff member(s) you worked with treat you with respect?

Question Title

* 5. Are there other disability-related services you would like OSCIL to provide? If so please explain.

Question Title

* 6. Would you recommend OSCIL to your friends and family?

Question Title

* 7. What is your disability? (You may choose more than one)

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* 8. Where did you hear about OSCIL? (Check all that apply)

Question Title

* 9. Are there other disability-related services that are needed in RI but are not currently available? If yes, please explain in comments.

Question Title

* 10. Would you like to subscribe to OSCIL's email list to receive notifications of upcoming news and events? If so, please leave your email address below.

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* 11. Is there anything else you would like to share?