Consumer Satisfaction Survey - 2023 Question Title * 1. Please indicate the services you now receive or have received in the past from LIFE Inc. Check all that apply. Advocacy Independent Living Skills Training Information & Referral Health & Fitness/Social & Recreational Housing (help finding or retaining accessible/affordable housing) Peer Support Purchased Services (e.g., hearing aids, prosthesis, vehicle modification, wheelchair, ramp, lift chair, etc.) Social Security Representative Payee Services Youth Transition Transition from Nursing Facility to Community Other (please specify) Question Title * 2. LIFE Staff treated you in a friendly, caring and respectful manner. Strongly Disagree Disagree Neither Agree nor Disagree Agree Strongly Agree Comment (optional) Question Title * 3. LIFE Staff responded to you in a timely manner. Strongly Disagree Disagree Neither Agree nor Disagree Agree Strongly Agree Comment (optional) Question Title * 4. LIFE Staff encouraged you to make decisions so you can live more independently. Strongly Disagree Disagree Neither Agree nor Disagree Agree Strongly Agree Comment (optional) Question Title * 5. LIFE services met your needs. Strongly Disagree Disagree Neither Agree nor Disagree Agree Strongly Agree Comment (optional) Question Title * 6. LIFE services gave you enough information to make informed decisions. Strongly Disagree Disagree Neither Agree nor Disagree Agree Strongly Agree Comments (optional) Question Title * 7. I am satisfied with services provided by LIFE Inc. Strongly Disagree Disagree Neither Agree nor Disagree Agree Strongly Agree Comment (optional) Question Title * 8. Optional - Based on your experience, what could the Center do to improve services? Question Title * 9. Optional - Please provide the name(s) of the LIFE staff who assisted you with services. Question Title * 10. Optional - Please enter your contact information. Name Email Address Cell Phone Number Submit response
