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Consumer and Stakeholder Satisfaction with Council Supported or Conducted Activities

The annual Program Performance Report that the Council prepares and submits to the Administration on Developmental Disabilities (ADD) must include consumer satisfaction and stakeholder satisfaction data. Information about the surveys and the survey forms are included in the information received from the ADD. We would appreciate your taking a few moments to complete either the Consumer Satisfaction Form or the Stakeholder Satisfaction form and submit to us.

Consumer Satisfaction Survey  

Please check the category that best describes you:
Individual with a disability
Family member
Other
1. I (or my family member) was treated with respect during this project activity.
Yes No
2. I (or my family member) have more choice and control as a result of this project activity.
Yes No
3. I (or my family member) can do more things in my community as a result of this project activity
Yes No
4. I am satisfied with this project activity.
4 Strongly Agree
3 Agree
2 Disagree
1 Strongly Disagree
5. My life is better because of this project activity.
4 Strongly Agree
3 Agree
2 Disagree
1 Strongly Disagree
6. What has been helpful or not helpful about this project activity?
 
7. Because of this project activity, I (or my family member) know my rights.
Yes
No
8. I (or my family member) am more able to be safe and protect myself from harm as a result of this activity.
Yes
No
Comments:
 

Email Address (required):

              

Stakeholder Satisfaction Survey

What does the Council do well?

What could the Council do better?

Impact - Council activities have improved the ability of the individuals with developmental disabilities and family members to:  

  1. Make choices and exert control over the services and support they use:






 
      Other Comments
       

  2. Participate in community life:
   6 Strongly Agree
   5 Agree
   4 Somewhat Agree
   3 Somewhat Disagree
   2 Disagree
   1 Strongly Disagree
 
      Other Comments
       

Satisfaction - Council activities promote self-determination and community participation for individuals with developmental disabilities.
   6 Strongly Agree
   5 Agree
   4 Somewhat Agree
   3 Somewhat Disagree
   2 Disagree
   1 Strongly Disagree
 
      Other Comments
       

Email Address (required):

                                        

Thank you for your assistance!

The Council's general e-mail address:  info@nccdd.org

Mailing address and office location:
North Carolina Council on Developmental Disabilities
3801 Lake Boone Trail, Suite 250
Raleigh, NC 27607