DD Waiver Annual Client Survey

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Greetings from Charles Clayton, Managing Director at Visions Case Management.

Thank you for allowing us to provide you with DDW Case Management services!

In order to meet Department of Health requirements and ensure that we are doing the best possible job, we respectfully ask that you complete this survey. Your input is very important to us and will guide us as our DD Waiver Case Management program continues to grow. If we’re doing something right, then let us know! If you have ideas on how we could be even better, then let us know! If you feel we have fallen short of your expectations in any area, then let us know! Our goal is to learn from our successes as well as our mistakes so that we can provide high quality case management services to you and your family. If you have questions about this survey, please feel free to call me directly at (575) 779-7419. Thank you.

* NOTE: PLEASE CLICK "OTHER" TO TYPE ANY ADDITIONAL COMMENTS. When you are finished, please click the purple SUBMIT button at the bottom of the document.

Name of your Case Manager (optional)

QUESTION 1. Does your Case Manager provide consistent support by scheduling a face-to-face meeting each month?

Yes

N/A

Other:

QUESTION 2. Is your Case Manager respectful of your time?

Yes

N/A

Other:

QUESTION 3. Does your Case Manager demonstrate good communication and understanding when you ask questions or show concerns?

Yes

N/A

Other:

QUESTION 4. Is your Case Manager accessible and available to you when you have questions or concerns about your DDW budget and services?

Yes

N/A

Other:

QUESTION 5. Is your Case Manager reliable? Does he/she keep appointments and return your phone calls or emails promptly?

Yes

N/A

Other:

QUESTION 6. Does your Case Manager help you to understand your roles and responsibilities within the program?

Yes

N/A

Other:

QUESTION 7. Did your Case Manager help you develop a thoughtful and comprehensive ISP and budget that met your needs AND submit revisions and changes if needed?

Yes

N/A

Other:

QUESTION 8. Does your Case Manager support you in monitoring the quality and effectiveness of your ISP and the utilization of your budget?

Yes

N/A

Other:

QUESTION 9. If necessary, did your Case Manager help you solve problems with the Income Support Division and re-certification?

Yes

N/A

Other:

QUESTION 10. Does your Case Manager facilitate productive meetings? Does he or she ensure that your voice is heard and that your concerns are addressed during meetings?

Yes

N/A

Other:

QUESTION 11. Do you feel that your Case Manager ensures your health and safety? Does he/she ask questions regarding your health and safety and provide support when necessary?

Yes

N/A

Other:

QUESTION 12. Overall, how satisfied are you with Visions Case Management & Consulting?

Very Satisfied

Satisfied

Neutral

Dissatisfied

Very Dissatisfied

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