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Satisfaction with Service Questionnaire : F.W. Schumacher Intensive Services Program

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.For how many months were you involved with the FWS Intensive Services Program:
2.I received services in:
3.I participated in my placement goals.
4.The workers helped me to develop goals that met my needs.
5.I felt heard and respected by the workers.
6.The workers identified both strengths and needs in my family.
7.Other family members and I were invited to participate in my placement as needed.
8.My culture was respected and taken into consideration by the workers.
9.The workers were able to effectively communicate with me in the official language of my choosing.
10.NEOFACS staff communicated well with each other and you.
11.I am more able to manage difficulties than before my placement.
12.The services I received allowed me to meet my goals.
13.I have strengthened skills and abilities because of the services provided.
14.I have less needs and symptoms because of the services provided.
15.I would recommend NEOFACS to other families.
16.Please describe your reasons for ending service (check all that apply)
17.What did NEOFACS do well?
18.What change(s) can NEOFACS make that would have the biggest positive impact on the service you received?
19.Additional Comments: