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Persons Supported Satisfaction Survey
1.
Are you satisfied with the staff providing your services?
Yes
No
Neutral
Additional Comments:
2.
Do staff members make you feel safe in your home and/or community?
Yes
No
Neutral
Additional Comments:
3.
Do the staff members providing your services treat you with kindness and respect?
Yes
No
Neutral
Additional Comments:
4.
Do you like where you live and who your housemates are (Residential Services)?
Yes
No
Neutral
Additional Comments:
5.
Do you go places and do things you enjoy?
Yes
No
Neutral
Additional Comments:
6.
Do you get to visit with friends and people you like?
Yes
No
Neutral
Additional Comments:
7.
Do you make choices about how you spend your time?
Yes
No
Neutral
Additional Comments"
8.
Are you encouraged to make your own choice about where/what you eat, where you shop, and what you do for fun?
Yes
No
Neutral
Additional Comments:
9.
Do you choose when and how often your services are provided?
Yes
No
Neutral
Additional Comments:
10.
Do your feel that the services provided by skillset have improved your quality of life?
Yes
No
Neutral
Additional Comments:
11.
Would you like to provide your name?
