Tell Us How We Are Doing and What We Can Do Better

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* 1. Overall, how satisfied or dissatisfied are you with the Medina County Board of Developmental Disabilities?

Very satisfied

Somewhat satisfied

Neither satisfied nor dissatisfied

Somewhat dissatisfied

Very dissatisfied

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* 2. Which of the following words would you use to describe the Medina County Board of DD? Select all that apply.

Reliable

High quality

Helpful

Ineffective

Poor quality

Unreliable

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* 3. How well does the Medina County Board of DD meet your needs?

Extremely well

Very well

Somewhat well

Not so well

Not at all well

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* 4. How would you rate the quality of the services provided by the Medina County Board of DD?

Very high quality

High quality

Neither high nor low quality

Low quality

Very low quality

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* 5. How responsive have our staff been to your questions or concerns?

Extremely responsive

Very responsive

Somewhat responsive

Not so responsive

Not at all responsive

Not applicable

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* 6. Please share with us any other comments, suggestions, questions, or concerns you may have at this time?

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* 7. If you would like someone to contact you to discuss any comments or concerns you may have, please leave your contact information below.

Name

Email Address

Phone Number