Consumer 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.

View our Privacy Policy

 
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

What has been helpful or not helpful about this project activity?

6. Because of this project activity, I (or my family member) know my rights.
     Yes      No  

7. 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:

                      

 
Stakeholders Satisfaction:

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
       

                                        

        Thank you for your assistance!

The Minnesota Governor's Council on Developmental Disabilities
370 Centennial Office Building
658 Cedar Street
St. Paul, Minnesota 55155

Colleen Wieck, Ph.D., Executive Director
Phone: 651-296-4018    MN Relay Service: 800-627-3529 OR 711    Fax: 651-297-7200
Toll-free number: 1-877-348-0505
Email: admin.dd@state.mn.us

Information about Minnesota Government Agencies is available at the North Star and Minnesota Dept. of Administration Web sites.

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