Step Ahead Enterprises
Youth Satisfaction Survey
Today's Date
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Location
*
Taylor House
Kate's Place
Hudson Home
Pearle's Place
Nevada Home
I feel safe in this home.
*
1
2
3
4
5
Worst
Best
1 is Worst, 5 is Best
Staff treat me with respect and listen to my concerns.
*
1
2
3
4
5
Worst
Best
1 is Worst, 5 is Best
I understand the rules of the home and what is expected of me.
*
1
2
3
4
5
Worst
Best
1 is Worst, 5 is Best
I am included in decisions about my goals, services, and future plans.
*
1
2
3
4
5
Worst
Best
1 is Worst, 5 is Best
I know how to make a complaint or grievance, and I feel safe doing so.
*
1
2
3
4
5
Worst
Best
1 is Worst, 5 is Best
Overall, I am satisfied with the care and support I receive at Step Ahead.
*
1
2
3
4
5
Worst
Best
1 is Worst, 5 is Best
What is one thing you like about living at this home?
*
What is one thing you would change or improve?
*
Is there anything else you want Step Ahead’s leadership to know?
*
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