Consumer Satisfaction Survey
Please take a moment to fill out this survey. Your feedback is important to us!
What County do you reside in?
How did you hear about or get connected with Disability Network?
Overall satisfaction of service
Agreed
Neutral
Disagree
The service we provided helped you with your goals.
I chose what we worked on.
I was treated with courtesy and respect.
Staff knew how to help me with my goals.
I am satisfied with my overall experience.
How likely are you to recommend this Center of Independent Living?
Please Select
Extremely Likely
Likely
Neutral
Unlikely
Extremely Unlikely
Please share about your experience or ways we can improve?
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