Individual Satisfaction Survey - Abilities Without Boundaries

Please take a few moments to complete this Abilities Without Boundaries satisfaction survey. (Family members or individuals served are welcome to take the survey.)

As a Participant, how satisfied are you with our programs?*

Satisfied
Neutral
Unsatisfied

Would you recommend our program to other individuals who are in need of day services and employment supports?

Yes
No

Do you enjoy the activities that are available within our programs?

Yes
No

How long have you been a participant in our program?

Less than a month
1 - 6 months
1 - 3 years
Over 3 years
Never used

How often do you receive services from AWB?

Once a week
2 - 3 times a month
Once a month
Less than once a month

What one aspect of our services do you value the most?

Please select one:

Quality of Staff
Community Experience Opportunities
Employment Opportunities
Day Program Options
Facility

What one aspect of our service most disappointed you?

Please select one:

Quality of Staff
Community Experience Opportunities
Employment Opportunities
Day Program Options
Facility

What do you like about our services?

What do you dislike about our services?

Thinking of similar organizations and other services offered by other companies, how would you compare our programs offered by our agency?

Much Better
Somewhat Better
About the Same
Somewhat Worse
Much Worse