Satisfaction Evaluation

Month/Year: __2016______Name: ____Blue Sky, Inc.______

·  We had 53 surveys completed and returned.

Overall satisfaction with program: / Excellent / Good / Fair / Poor
Services
1 / Services are person-centered and are driven by the person and their support team. / 31 / 15 / 7 / 1
2 / Services uphold what is important to the person and what is important for the person. / 33 / 18 / 2 / 2
3 / The person’s rights are affirmed, protected, and exercised by the person, the company, and all staff. / 33 / 14 / 6 / 2
4 / Any preferences the person has related to their supports are being provided by the company. / 33 / 16 / 3 / 1
5 / The person’s desired outcomes are being accomplished and progress is clearly being made. / 29 / 16 / 5 / 2
6 / How satisfied are you with the opportunities the person has to increase self-sufficiency, community inclusion, and skill development? / 29 / 18 / 3 / 2
7 / How satisfied are you with services and service delivery provided to this person? / 31 / 17 / 1 / 3
Staff
1 / Staff are trained and competent to perform their job duties. / 29 / 20 / 3 / 2
2 / Staff interact in a positive, respectful manner which upholds the person’s history, dignity, and cultural background. / 31 / 16 / 5 / 1
3 / I feel comfortable bringing questions or concerns to the attention of the company’s management and know they will follow through on addressing any issue. / 30 / 13 / 8 / 2
Physical Location (if applicable)
1 / The program site is comfortable and has a welcoming atmosphere. / 21 / 7 / 1 / 1
2 / The program site is safe and well maintained. / 20 / 8 / 1 / 1
3 / Food prepared and provided is nutritious and based upon specialized dietary need. / 15 / 5 / 1 / 1

Please add any comments regarding how we are delivering services and supports to this person based upon their preferences:

·  Blue Sky is the best thing that has ever helped me.

·  Service satisfactory.

·  I thank God that help is available for all my needs.

·  Very good services.

·  I love the staff I have, I don’t want anything to change.

·  Love you guys!

·  Services have been inconsistent due to staff turnover.

·  The issue is staff turnover and not knowing who to contact. Lack of semi-annual progress reports.

·  Very good. All the staffs is good friends.