IE Participant Satisfaction Survey

We're committed to monitoring and evaluating the quality of the services we provide, as part of an ongoing improvement process. We would appreciate your feedback on our performance. (All submissions are anonymous.)

* 1. How would you rate your feelings about Employment & Community Options in terms of (Rating of 5 being highest, 1 being lowest):

  5 - Very Happy 4 - Happy 3 - Okay 2 - Unhappy 1 - Very Unhappy
The overall services you receive from Employment & Community Options?

* 2. How would you rate your feelings about Employment & Community Options in terms of (Rating of 5 being highest, 1 being lowest):

  5 - Very Happy 4 - Happy 3 - Okay 2 - Unhappy 1 - Very Unhappy
If you are working, in terms of the job you obtained through Employment & Community Options?

* 3. How would you rate your feelings about Employment & Community Options in terms of (Rating of 5 being highest, 1 being lowest):

  5 - Very Happy 4 - Happy 3 - Okay 2 - Unhappy 1 - Very Unhappy
The help that you get from your Support Specialist?

* 4. How would you rate your feelings about Employment & Community Options in terms of (Rating of 5 being highest, 1 being lowest):

  5 - Very Happy 4 - Happy 3 - Okay 2 - Unhappy 1 - Very Unhappy
If you work or volunteer, about the relationships you have with your coworkers or other volunteers?

* 5. How would you rate your feelings about Employment & Community Options in terms of (Rating of 5 being highest, 1 being lowest):

  5 - Very Happy 4 - Happy 3 - Okay 2 - Unhappy 1 - Very Unhappy
About your participation in planning your goals?

* 6. How would you rate your feelings about Employment & Community Options in terms of (Rating of 5 being highest, 1 being lowest):

  5 - Very Happy 4 - Happy 3 - Okay 2 - Unhappy 1 - Very Unhappy
About your community-based activities?

* 7. How would you rate your feelings about Employment & Community Options in terms of (Rating of 5 being highest, 1 being lowest):

  5 - Very Happy 4 - Happy 3 - Okay 2 - Unhappy 1 - Very Unhappy
About planning your daily activities?

* 8. How would you rate your feelings about Employment & Community Options in terms of (Rating of 5 being highest, 1 being lowest):

  5 - Very Happy 4 - Happy 3 - Okay 2 - Unhappy 1 - Very Unhappy
About the way your Support Specialist treats you?

* 9. Do you have any transportation problems?

* 10. Do you have any new medical or health problems?

* 11. In what type of program and/or geographic location of Employment & Community Options are you receiving services?

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