DoDD-OOD-BWC-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
Your answer
2. Which area of Ohio do you work in? *
3. Email Address:
Optional
Your answer
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 Job Coaching
Quality of Job Development
Quality of Career Exploration
Quality of Vocational Assessments
Quality of Driver's Education
Comments *
Your answer
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 *
Your answer
7. Did you know Capabilities offers the following? *
Yes
No
Benefits Analysis
Cash Register Training
Driving Assessments/Driver's Education
Driver's Education
Services through waiver funding
Microsoft Office Certification
Vocational Testing
8. Would you like someone to contact you regarding these or other services Capabilities provides? *
Please supply contact information.
Your answer
9. What is your preferred method of communication? *
Required
Comments *
Your answer
10. How likely are you to recommend Capabilities? *
Very Likely
Likely
Unlikely
Very Unlikely
11. How likely are you to use Capabilities' services in the future? *
Very Likely
Likely
Unlikely
Very Unlikely
Comments *
Your answer
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
Your answer
13. How can we improve our services? *
Comments
Your answer
14. Are there other services you feel would be beneficial for Capabilities to offer? *
Comments
Your answer
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