Family Autism Network Survey
The Family Autism Network, a program under the auspices of the Grandparent Autism Network, wants to know about your experience with the Regional Center of Orange County. This survey is intended to identify if the programs and services being provided by RCOC for all disabilities are meeting the needs of the consumers they serve. The results will be used to encourage improvement in those areas.
This survey is completely confidential. Your identity will not be shared with the RCOC or any other entity. Please indicate if you are willing to be contacted for additional information by the Family Autism Network.
* Required
What is the age of the consumer?
*
Your answer
What is the diagnosis of the consumer?
*
Your answer
Are you served by the RCOC's Santa Ana Office or Cypress Office?
*
Santa Ana (serving South/Central OC)
Cypress (serving North/West/East OC)
Did you struggle to gain RCOC eligibility for your loved one (have to appeal an eligibility denial, retain an advocate to help you, etc.)? This question solely refers to being accepted into the Regional Center.
*
Yes
No
What Regional Center funded services is the consumer currently receiving?
*
Your answer
Are you satisfied with the quality of the Regional Center funded services the consumer is receiving?
*
Yes
No
Is the consumer receiving all of the services you feel they need?
*
Yes
No
If you asked the Regional Center for additional services, were they given?
*
Yes
No
Has the Regional Center helped you with any of the following?
*
Yes
No
Not Applicable
Housing Advocacy (subsidized housing, apartment referrals, contract with an agency to help find an apartment)
Special Education Advocacy
Criminal Justice expertise for consumers involved in the court system (as a victim or defendant)
Public benefits advocacy to access IHSS, SSI benefits, etc.
Family Support Services
Yes
No
Not Applicable
Housing Advocacy (subsidized housing, apartment referrals, contract with an agency to help find an apartment)
Special Education Advocacy
Criminal Justice expertise for consumers involved in the court system (as a victim or defendant)
Public benefits advocacy to access IHSS, SSI benefits, etc.
Family Support Services
If you received assistance in any of the areas identified in question 9, were you satisfied with the assistance received? Check "Not Applicable" if you never received assistance in any of these areas.
Yes
No
Not Applicable
Housing Advocacy (subsidized housing, apartment referrals, contract with an agency to help find an apartment)
Special Education Advocacy
Criminal Justice expertise for consumers involved in the court system (as a victim or defendant)
Public benefits advocacy to access IHSS, SSI benefits, etc.
Family Support Services
Yes
No
Not Applicable
Housing Advocacy (subsidized housing, apartment referrals, contract with an agency to help find an apartment)
Special Education Advocacy
Criminal Justice expertise for consumers involved in the court system (as a victim or defendant)
Public benefits advocacy to access IHSS, SSI benefits, etc.
Family Support Services
What service would you like from your RCOC Service Coordinator (case manager) that is not currently being done?
*
Your answer
Are there any issues/concerns not addressed in this survey that you would like to share?
Your answer
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