Consumer Satisfaction Survey
We’d love to hear about your experience. Feel free to share suggestions, ideas, or anything that comes to mind.
First Name (optional)
Last Name (optional)
Email address (optional)
Do you feel services are increasing your self-direction, self-determination, and self-reliance?
Yes
No
Are services improving your self-esteem?
Yes
No
Do you know who to contact if you need assistance?
Yes
No
Do you feel an improvement in your social relationships?
Yes
No
Do you feel better physically and/or mentally?
Yes
No
Do you feel better prepared to explore job opportunities?
Yes
No
Are the hours/services appropriate to your needs?
Yes
No
Are the costs of services appropriate?
Yes
No
Are the staff helpful with your needs?
Yes
No
Were you admitted to our program within 30 days of your referral to Wayne Opportunity Center?
Yes
No
Are services accessible and easily available?
Yes
No
Do you feel time spent in the community is appropriate to your needs?
Yes
No
Are the hours of service convenient to your needs?
Yes
No
Is the location of services convenient for you?
Yes
No
Does the staff follow-up with you as needed?
Yes
No
Do you feel that you have enough support?
Yes
No
Are you treated with dignity and respect?
Yes
No
Do services focus on your desires and needs?
Yes
No
Are grievances and concerns addressed?
Yes
No
Are you involved in making decisions about your services?
Yes
No
Are the physical facilities clean, comfortable, and safe?
Yes
No
Overall, are you satisfied with the services that you receive?
Yes
No
Would you recommend the program to others?
Yes
No
How would you rate our services?
Excellent
Very good
Good
Fair
Poor
Share any suggestions or ideas for improvement
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Consumer
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