CIL Consumer Satisfaction Survey

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Thank you for participating in CIL Jacksonville's satisfaction survey. Your feedback is very important to us.

For alternate formats to this survey, please contact us at 904-399-8484 (Voice), 904-508-0077 (Videophone), or info@CILJacksonville.org (email).

While working with CIL Jacksonville... *

Please answer the following questions on a scale from "Strongly Disagree" to "Strongly Agree".

Strongly Disagree

Disagree

Neutral

Agree

Strongly Agree

Not Applicable

I reached my plan goals in a time that was good for me.

The tools I received helped me make my own choices.

My quality of life is better.

I am able to live more independently.

I can take better care of myself.

CIL Jacksonville staff members treated me with courtesy and respect

Which CIL program provided you assistance?

Please select all that apply.

Brooks Temporary Loan Closet (TLC)

CART Real-Time Captioning Services

Careers 360 Program - Employment Services

Deaf Empowerment Program

Disability Victims Advocacy Program

Florida Telecommunications Relay, Inc. (FTRI)

Florida Alliance for Assistive Services and Technology (FAAST)

Sign Language Interpreting Services

Ready to Achieve Mentoring Program (RAMP)

Work Incentives Planning and Assistance (WIPA)

Youth Career Camp

Other:

Who is your Coordinator?

Type the name of the CIL staff member who has been assisting you.

Comments & Feedback

Use this space to provide additional comments and feedback.

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