The Client METER
Program QUALITY Survey
Out & About
How long have you been participating in LifeBridge services? *
How often do you participate in LifeBridge activities? *
Are you satisfied with the frequency in which you participate in LifeBridge activities? *
If you answered "no" to the above question, why?
Your answer
When contacting LifeBridge staff, I feel like my needs are being met (scheduling activities of my choice, questions are answered in a timely manner etc.) *
If you answered "no" to the above question, why?
Your answer
I feel like I am given an opportunity to be involved in my community when I participate in LifeBridge activities. *
If you answered "no" to the above question, why?
Your answer
When participating in LifeBridge activites, I feel my individual support needs are being met (appropriate staff to client ratio, personal care needs, physical support needs, and safety oversight). *
If you answered "no" to the above question, what makes you feel like your needs are not being met?
Your answer
Do you feel like you understand why you have an annual service plan with LifeBridge? *
Do you know what is currently included in your service plan (your personal goals and strategies for LifeBridge to support you)? *
Do you feel what is included in your service plan is fitting with your personal life goals? *
Do you feel that the transportation provided by LifeBridge is safe and reliable? *
If you answered "no" to the above question, why?
Your answer
How would you rate your overall satisfaction with LifeBridge? *
Highly dissatisfied
Highly satisfied
Do you have any additional comments or suggestions for improvements?
Your answer
If you would you like to be entered into a drawing to win a voucher for round trip LifeBridge transportation for a future LifeBridge event ($10 value) please enter your First and Last Name as well as your phone number.
First Name Last Name Phone Number
Your answer
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This form was created inside of LifeBridge Partnership.