Vocational Development

Stakeholder Satisfaction Survey
Family

Consumer's Name:

Your Name:

Relationship to Consumer:

You have been identified as a stakeholder for this person, meaning that you have an interest in his or her welfare and a unique perspective regarding the effectiveness of SAVE's services.  Please take a few minutes and answer the questions below.  It will help us to better serve all of our consumers.  Thank you.

Instructions:  Please read each statement and select the number that best reflects your opinion.

              1                    2                    3                      4                    5  
        Strongly            Agree              Not                Disagree        Strongly
         Agree                                    Certain                                  Disagree

    0 1 2 3 4 5     SAVE staff communicate with me in a respectful manner.

    0 1 2 3 4 5     My input was considered in planning services

    0 1 2 3 4 5     The consumer is asked his or her opinion about services

    0 1 2 3 4 5     SAVE staff are responsive to questions and concerns.

    0 1 2 3 4 5     Overall, SAVE's services enhance this consumer's life.

Comments?  Especially those regarding how SAVE can improve services:
   

Thank you for your time spent responding to this survey

Please complete the form above and press the SUBMIT button when finished.

Stakeholder Satisfaction Survey
Co-Provider of Service

Consumer's Name:

Your Name:

Relationship to Consumer:

You have been identified as a stakeholder for this person, meaning that you have an interest in his or her welfare and a unique perspective regarding the effectiveness of SAVE's services.  Please take a few minutes and answer the questions below.  It will help us to better serve all of our consumers.  Thank you.

Instructions:  Please read each statement and select the number that best reflects your opinion.

              1                    2                    3                      4                    5  
        Strongly            Agree              Not                Disagree        Strongly
         Agree                                    Certain                                  Disagree

    0 1 2 3 4 5     SAVE staff provide useful feedback regarding the service I provide.

    0 1 2 3 4 5     SAVE staff are helpful in coordinating services.

    0 1 2 3 4 5     The consumer takes part in choosing and designing his or her services.

    0 1 2 3 4 5     SAVE staff are responsive to questions and concerns.

    0 1 2 3 4 5     Overall, I am satisfied with my working relationship with SAVE.

Comments?  Especially those regarding how SAVE can improve services:
   

Thank you for your time spent responding to this survey

Please complete the form above and press the SUBMIT button when finished.

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Stakeholder Satisfaction Survey
ID Team Member

Consumer's Name:

Your Name:

Relationship to Consumer:

You have been identified as a stakeholder for this person, meaning that you have an interest in his or her welfare and a unique perspective regarding the effectiveness of SAVE's services.  Please take a few minutes and answer the questions below.  It will help us to better serve all of our consumers.  Thank you.

Instructions:  Please read each statement and select the number that best reflects your opinion.

              1                    2                    3                      4                    5  
        Strongly            Agree              Not                Disagree        Strongly
         Agree                                    Certain                                  Disagree

    0 1 2 3 4 5     SAVE staff communicate with me in a respectful manner.

    0 1 2 3 4 5     My input was sought in planning services

    0 1 2 3 4 5     The consumer takes part in planning services and in making informed choices to the
                    best of his or her ability

    0 1 2 3 4 5     SAVE staff are aware of and encourage the use of community based resources, as
                   appropriate.

    0 1 2 3 4 5     Overall, SAVE's services enhance this consumer's life.

Comments?  Especially those regarding how SAVE can improve services:
   

Thank you for your time spent responding to this survey

Please complete the form above and press the SUBMIT button when finished.