Transforming Care - Survey for Direct Service Providers

Question Title

* 1. Select your region:

Question Title

* 2. Please rate the following:

	1 - Strongly Disagree	2 - Disagree	3 - Neither Agree nor Disagree	4 - Agree	5 - Strongly Agree
I speak up if I have a client safety concern.	I speak up if I have a client safety concern. 1 - Strongly Disagree	I speak up if I have a client safety concern. 2 - Disagree	I speak up if I have a client safety concern. 3 - Neither Agree nor Disagree	I speak up if I have a client safety concern. 4 - Agree	I speak up if I have a client safety concern. 5 - Strongly Agree
I have easy access to the supplies and equipment I need to perform my work.	I have easy access to the supplies and equipment I need to perform my work. 1 - Strongly Disagree	I have easy access to the supplies and equipment I need to perform my work. 2 - Disagree	I have easy access to the supplies and equipment I need to perform my work. 3 - Neither Agree nor Disagree	I have easy access to the supplies and equipment I need to perform my work. 4 - Agree	I have easy access to the supplies and equipment I need to perform my work. 5 - Strongly Agree
The support staff/services to this facility respond in a timely way.	The support staff/services to this facility respond in a timely way. 1 - Strongly Disagree	The support staff/services to this facility respond in a timely way. 2 - Disagree	The support staff/services to this facility respond in a timely way. 3 - Neither Agree nor Disagree	The support staff/services to this facility respond in a timely way. 4 - Agree	The support staff/services to this facility respond in a timely way. 5 - Strongly Agree
I can discuss challenging issues with care team members.	I can discuss challenging issues with care team members. 1 - Strongly Disagree	I can discuss challenging issues with care team members. 2 - Disagree	I can discuss challenging issues with care team members. 3 - Neither Agree nor Disagree	I can discuss challenging issues with care team members. 4 - Agree	I can discuss challenging issues with care team members. 5 - Strongly Agree
My ideas really seem to count.	My ideas really seem to count. 1 - Strongly Disagree	My ideas really seem to count. 2 - Disagree	My ideas really seem to count. 3 - Neither Agree nor Disagree	My ideas really seem to count. 4 - Agree	My ideas really seem to count. 5 - Strongly Agree

Question Title

* 3. Please rate the following:

	1 - Strongly Disagree	2 - Disagree	3 - Neither Agree nor Disagree	4 - Agree	5 - Strongly Agree
If I have an idea about how to make things better on this unit or in this facility, the supervisor and other staff are willing to try it.	If I have an idea about how to make things better on this unit or in this facility, the supervisor and other staff are willing to try it. 1 - Strongly Disagree	If I have an idea about how to make things better on this unit or in this facility, the supervisor and other staff are willing to try it. 2 - Disagree	If I have an idea about how to make things better on this unit or in this facility, the supervisor and other staff are willing to try it. 3 - Neither Agree nor Disagree	If I have an idea about how to make things better on this unit or in this facility, the supervisor and other staff are willing to try it. 4 - Agree	If I have an idea about how to make things better on this unit or in this facility, the supervisor and other staff are willing to try it. 5 - Strongly Agree
Care team members at this location feel free to question the decisions or actions of those with more authority.	Care team members at this location feel free to question the decisions or actions of those with more authority. 1 - Strongly Disagree	Care team members at this location feel free to question the decisions or actions of those with more authority. 2 - Disagree	Care team members at this location feel free to question the decisions or actions of those with more authority. 3 - Neither Agree nor Disagree	Care team members at this location feel free to question the decisions or actions of those with more authority. 4 - Agree	Care team members at this location feel free to question the decisions or actions of those with more authority. 5 - Strongly Agree
Important client care information is exchanged during shift changes.	Important client care information is exchanged during shift changes. 1 - Strongly Disagree	Important client care information is exchanged during shift changes. 2 - Disagree	Important client care information is exchanged during shift changes. 3 - Neither Agree nor Disagree	Important client care information is exchanged during shift changes. 4 - Agree	Important client care information is exchanged during shift changes. 5 - Strongly Agree
Care staff/professionals communicate client information during handoffs.	Care staff/professionals communicate client information during handoffs. 1 - Strongly Disagree	Care staff/professionals communicate client information during handoffs. 2 - Disagree	Care staff/professionals communicate client information during handoffs. 3 - Neither Agree nor Disagree	Care staff/professionals communicate client information during handoffs. 4 - Agree	Care staff/professionals communicate client information during handoffs. 5 - Strongly Agree
Essential client care equipment is in good working condition.	Essential client care equipment is in good working condition. 1 - Strongly Disagree	Essential client care equipment is in good working condition. 2 - Disagree	Essential client care equipment is in good working condition. 3 - Neither Agree nor Disagree	Essential client care equipment is in good working condition. 4 - Agree	Essential client care equipment is in good working condition. 5 - Strongly Agree