Skip to content

Satisfaction with Service Questionnaire
Intensive Service Coordination

Please answer the following questions so we can evaluate how well we have responded to your/your family’s needs. Your participation in this survey is voluntary and all of your answers will be anonymous.
For statements 3-15, please choose the most appropriate answer to tell us if you agree or disagree with the statements. For the remaining questions, please write your answers in the space provided.
1.How long were you involved in the program:
2.) I/my child received services in:
3.I participated in the program for my child.
4.The case manager helped me/my child to develop goals that met my/my child’s needs.
5.I/my child felt heard and respected by the case manager
6.The case manager helped identify our strengths and needs in order to navigate the services available.
7.Other family members and I were invited to participate in the program and case conferences.
8.My culture was respected and taken into consideration by the case manager.
9.The case manager was able to effectively communicate with me/my child in the official language of my/our choosing.
10.The case manager communicated well with the service providers involved.
11.The program helped me/my child navigate and understand services available to me/my child
12.The services I/my child received allowed to meet my/my child’s goals.
13.I would recommend NEOFACS to other families.
14.Please describe your reasons for ending service (check all that apply)
15.What did NEOFACS do well?
16.What change(s) can NEOFACS make that would have the biggest positive impact on the service you/your child received?
17.Additional Comments: