Community Resources
Satisfaction Survey
ADVOCACY |
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Deaf Service Center, Inc.
Interpreting & Community Resources
5830 North High Street
Worthington, OH 43085-3959 |
Deaf Services Center is pleased to have provided you with case management and/or community advocacy services. Please take a few minutes to answer this survey below and give it back to us quickly. Your feedback helps us improve our services we provide to you. Thank you. |
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Name or Company: __________________________________ Today's Date: ______________
(Optional)
Date of last appointment/contact with staff: ___________________________________________
5 = Excellent 4 = Good 3 = Average 2 = Fair 1 = Poor |
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5 4 3 2 1 |
| How well has DSC tried to help make services accessible? (i.e. police, hospital, 911, court, etc.) |
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| How well has DSC tried to help make other services accessible? (i.e. medical, legal, education, etc.) |
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| How well has DSC advocated working with employers on accessibility or discrimination issues? |
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| How well has DSC worked with BVR during the employment process of deaf consumers? |
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| How well has DSC advocated for deaf issues in your community? |
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| How well has DSC educated others about deaf issues, Deaf rights, and self-advocacy? |
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| How well does DSC work to find solutions to problems that consumers have? |
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| How well did DSC help you with an accessibility issue? |
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What other advocacy sevices would you like DSC to provide? _____________________________
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Thank you for taking the time to fill out this survey. You may put this in our "Client Satisfaction Survey" box in our main lobby OR fax it to us at (614) 841-4909 OR mail it to us at: Community Resources Director, Deaf Services Center, Inc. 5830 North High Street, Worthington OH 43085. |