Fiscal Year 2021 Residential Satisfaction Survey

Dear Consumer:

The purpose of this survey is to find out what you think about CODI services.  Please complete this survey. 
This survey is anonymous, but you may include your name if you wish. 
If you have any questions please call Paul D’Acunto, Quality Improvement Specialist at 609-965-6871.

Thank you for taking the time to complete this survey.

Sincerely,

Linda Carney                                                          
President / CEO

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* 1. Staff is helpful, friendly, and polite.

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* 2. I feel comfortable expressing my opinions and sharing input with staff.

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* 3. I actively participate in developing my IRP.

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* 4. Staff helps me work on my IRP goals.

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* 5. My Residential Manager listens when I have concerns.

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* 6. Staff is sensitive to my cultural and/or religious beliefs and practices.

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* 7. I understand my rights including the grievance procedure.

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* 8. My health has improved since being in the program.

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* 9. The property I live in is safe and comfortable.

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* 10. The program meets my needs.

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* 11. I would recommend the program to others.

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* 12. Please rate overall quality of services.

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* 13. What do we do best?

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* 14. What can we improve?

Please answer questions below to gauge readiness to move from group homes into supported apartments.

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* 15. (1) I fear living on my own.

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* 16. (2) I can’t afford rent and utilities

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* 17. (3) I fear I may have a mental illness or substance use relapse.

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* 18. (4) My family does not support or consent to me living on my own.

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* 19. (5) I fear CODI services will be reduced or stopped.

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* 20. (6) I am unable to independently take medication as prescribed.

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* 21. (7) I require 24 hour staff support for my medical issues.

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* 22. Your Name (OPTIONAL)

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