DoDD-OOD-County Board-Stakeholder's Satisfaction Survey
Thank you for working with Capabilities to help people successfully achieve and sustain their goals.
Please take a few minutes to complete this survey. Your feedback is instrumental in helping us provide the highest quality services.
1. Full Name:
Optional
2. Which area of Ohio do you work in? *
3. Email Address:
Optional
4. How long have you used Capabilities' services? *
5. How would you rate Capabilities on the following characteristics? *
Excellent
Very Good
Good
Fair
Poor
Unsure
Knowledge of requirements for each service
Reports are accurate and detail pertinent and needed information
Rejected billings are handled in a timely manner
Written plans are tailored to each person
Resume quality
Regularity of updates and developments on cases
Advancement from one service to the next
Flexibility to accommodate various schedules
Quality of On-the-Job-Supports
Quality of Job Development
Quality of Day Habilitation Services
Quality of services provided to people with disabilities
Quality of Driver's Education
Comments *
6. Considering the characteristics you’ve just rated, how would you rate your overall satisfaction with Capabilities? *
Excellent
Very Good
Good
Fair
Poor
Unsure
Comments *
7. Did you know Capabilities offers the following? *
Yes
No
Work Incentives Planning & Benefits Analysis
Customer Service/Retail Sales Training
Driving Assessments/Driver's Education
Services through waiver funding
Career Planning: Career Discovery
Transition Mapping
8. Would you like someone to contact you regarding these or other services Capabilities provides? *
Please supply contact information.
9. What is your preferred method of communication? *
Required
Comments *
10. How likely are you to recommend Capabilities overall? *
Very Likely
Likely
Unlikely
Very Unlikely
11. How likely are you to recommend Capabilities' services in the future for the people you serve? *
Very Likely
Likely
Unlikely
Very Unlikely
Comments *
12. What do we do well? What are we doing that you find useful? Tell us about someone from Capabilities if they went the extra mile for you. *
Comments
13. How can we improve Capabilities and the services we provide? *
Comments
14. Other Comments *
Comments
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