1.My SSA/Service Coordinator/Developmental Specialist is responsive when I have questions or concerns.

Strongly agree

Agree

Neither agree nor disagree

Disagree

Strongly disagree

2.My SSA/Service Coordinator/Developmental Specialist checks in with me on a regular basis.

Strongly agree

Agree

Neither agree nor disagree

Disagree

Strongly disagree

3.My Individual Service Plan (ISP) or Individual Family Service Plan (IFSP) contains the things that matter the most to me.

Strongly agree

Agree

Neither agree nor disagree

Disagree

Strongly disagree

4.I am satisfied with the supports I receive from my provider.

Strongly agree

Agree

Neither agree nor disagree

Disagree

Strongly disagree

5.My life has the people, places, and experiences I want in it.

Strongly agree

Agree

Neither agree nor disagree

Disagree

Strongly disagree