Skill Building / Supports Coordination 2023 Survey

Question Title

* 2. If you are in more than one, choose which one you are answering the questions for this time. I'm in:

Skill Building: (I come for computer class or for life skills class)

Supports Coordination: (Your Supports Coordinator meets with you monthly to talk about your plan and goals for the year)

Supportive Employment: (I work in the Donated Goods or automotive warehouse)

	Strongly Agree	Agree	Undecided	Disagree	Strongly Disagree	N/A
1. I like the services I receive at Goodwill.	1. I like the services I receive at Goodwill. Strongly Agree	1. I like the services I receive at Goodwill. Agree	1. I like the services I receive at Goodwill. Undecided	1. I like the services I receive at Goodwill. Disagree	1. I like the services I receive at Goodwill. Strongly Disagree	1. I like the services I receive at Goodwill. N/A
2. The staff helps me when I need help.	2. The staff helps me when I need help. Strongly Agree	2. The staff helps me when I need help. Agree	2. The staff helps me when I need help. Undecided	2. The staff helps me when I need help. Disagree	2. The staff helps me when I need help. Strongly Disagree	2. The staff helps me when I need help. N/A
3. Staff helps me to be able to do activities I want to do.	3. Staff helps me to be able to do activities I want to do. Strongly Agree	3. Staff helps me to be able to do activities I want to do. Agree	3. Staff helps me to be able to do activities I want to do. Undecided	3. Staff helps me to be able to do activities I want to do. Disagree	3. Staff helps me to be able to do activities I want to do. Strongly Disagree	3. Staff helps me to be able to do activities I want to do. N/A
4. Staff are respectful to me.	4. Staff are respectful to me. Strongly Agree	4. Staff are respectful to me. Agree	4. Staff are respectful to me. Undecided	4. Staff are respectful to me. Disagree	4. Staff are respectful to me. Strongly Disagree	4. Staff are respectful to me. N/A
5. I feel safe asking staff questions.	5. I feel safe asking staff questions. Strongly Agree	5. I feel safe asking staff questions. Agree	5. I feel safe asking staff questions. Undecided	5. I feel safe asking staff questions. Disagree	5. I feel safe asking staff questions. Strongly Disagree	5. I feel safe asking staff questions. N/A
6. Staff have told me about recipient rights.	6. Staff have told me about recipient rights. Strongly Agree	6. Staff have told me about recipient rights. Agree	6. Staff have told me about recipient rights. Undecided	6. Staff have told me about recipient rights. Disagree	6. Staff have told me about recipient rights. Strongly Disagree	6. Staff have told me about recipient rights. N/A
7. I feel free to complain if I didn’t like something about my services.	7. I feel free to complain if I didn’t like something about my services. Strongly Agree	7. I feel free to complain if I didn’t like something about my services. Agree	7. I feel free to complain if I didn’t like something about my services. Undecided	7. I feel free to complain if I didn’t like something about my services. Disagree	7. I feel free to complain if I didn’t like something about my services. Strongly Disagree	7. I feel free to complain if I didn’t like something about my services. N/A

Strongly Agree

Agree

Undecided

Disagree

Strongly Disagree

N/A

1. I like the services I receive at Goodwill.

1. I like the services I receive at Goodwill. Strongly Agree

1. I like the services I receive at Goodwill. Agree

1. I like the services I receive at Goodwill. Undecided

1. I like the services I receive at Goodwill. Disagree

1. I like the services I receive at Goodwill. Strongly Disagree

1. I like the services I receive at Goodwill. N/A

2. The staff helps me when I need help.

2. The staff helps me when I need help. Strongly Agree

2. The staff helps me when I need help. Agree

2. The staff helps me when I need help. Undecided

2. The staff helps me when I need help. Disagree

2. The staff helps me when I need help. Strongly Disagree

2. The staff helps me when I need help. N/A

3. Staff helps me to be able to do activities I want to do.

3. Staff helps me to be able to do activities I want to do. Strongly Agree

3. Staff helps me to be able to do activities I want to do. Agree

3. Staff helps me to be able to do activities I want to do. Undecided

3. Staff helps me to be able to do activities I want to do. Disagree

3. Staff helps me to be able to do activities I want to do. Strongly Disagree

3. Staff helps me to be able to do activities I want to do. N/A

4. Staff are respectful to me.

4. Staff are respectful to me. Strongly Agree

4. Staff are respectful to me. Agree

4. Staff are respectful to me. Undecided

4. Staff are respectful to me. Disagree

4. Staff are respectful to me. Strongly Disagree

4. Staff are respectful to me. N/A

5. I feel safe asking staff questions.

5. I feel safe asking staff questions. Strongly Agree

5. I feel safe asking staff questions. Agree

5. I feel safe asking staff questions. Undecided

5. I feel safe asking staff questions. Disagree

5. I feel safe asking staff questions. Strongly Disagree

5. I feel safe asking staff questions. N/A

6. Staff have told me about recipient rights.

6. Staff have told me about recipient rights. Strongly Agree

6. Staff have told me about recipient rights. Agree

6. Staff have told me about recipient rights. Undecided

6. Staff have told me about recipient rights. Disagree

6. Staff have told me about recipient rights. Strongly Disagree

6. Staff have told me about recipient rights. N/A

7. I feel free to complain if I didn’t like something about my services.

7. I feel free to complain if I didn’t like something about my services. Strongly Agree

7. I feel free to complain if I didn’t like something about my services. Agree

7. I feel free to complain if I didn’t like something about my services. Undecided

7. I feel free to complain if I didn’t like something about my services. Disagree

7. I feel free to complain if I didn’t like something about my services. Strongly Disagree

7. I feel free to complain if I didn’t like something about my services. N/A

Skill Building / Supports Coordination 2023

Your comments are important to us. Please take a moment to fill out this survey.

Question Title

* 1. Date

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* 2. If you are in more than one, choose which one you are answering the questions for this time. I'm in:

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* 3. Please answer some questions about the services that you have received

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* 4. What would improve the services here?

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* 5. What has been the most helpful thing about the services you/your family member/your ward received over the last 12 months?