Thank you for considering Support, Inc. We strive to provide the best services possible. We hope you will take a few minutes to complete this survey to help us look at areas we may need to improve. Once you have taken the survey, we will send you a $25 gift card in appreciation of your time.

Please indicate(using the ranking system provided after each question)if this area was a factor or non-factor in your decision making process.

* 1. The Support, Inc. Behavioral Services department and the professionally qualified staff were a value added benefit for our family member.

* 2. The Support, Incorporated Nursing services department and the professionally licensed staff were a value added benefit for our family member.

* 3. The host home provider(s) we met was/were a good match for our family member.

* 4. The Placement department (Cindy and Kristin) were knowledgeable and attentive to our needs and the needs of our family member and we felt comfortable with them assisting us in the placement process.

* 5. We were aware of the excellent reputation Support, Inc. has as a service agency.

* 6. The CCB case manager or resource coordinator was a factor in choosing Support, Inc.

* 7. Were there other staff at Support, Inc. you met who were influential in helping you make your decision?

* 8. Support, Inc.'s day program was a factor in choosing residential services for our family member.

* 9. Were there other factors which were influential in helping you make your decision in choosing residential services?

* 10. How likely are you to refer Support, Inc. to others who may be looking for services?

* 11. Please provide your mailing address and we will send your $25 gift card within one business day of completion of the survey!