Satisfaction Survey

Cornerstone prides itself on providing quality services and your feedback is integral to our continued growth and care. We appreciate your time in completing this survey.

Individual Supported:*

Cornerstone Staff:*

Service Provided:*

Behavior SupportHousing TransitionSupported LivingLife Sharing

Questions:*

	N/A	Does Not Meet Expectations	Meets Expectations	Exceeds Expectations
1. Staff consistently attends scheduled appointments/meetings and is timely
2. Staff maintains regular communication with individual/team
3. Staff is a team player, listens to individual/team needs and works to find solutions
4. Staff is responsive when concerns arise and assists with problem solving in a timely manner
5. Staff supports and/or develops appropriate goals/strategies to target identified needs
6. Staff interacts professionally in attitude and demeanor
7. Needs are individualized to the person and meet the appropriate level of care
8. Reports and documents are easy to understand and provide information on progress and regression
9. The individual/team is benefitting from Cornerstone services
10. I know who to contact at Cornerstone and how to contact them if I have a problem
11. The Cornerstone Agency provides quality services to individuals
12. Staff provides clear information on Cornerstone's responsibilities and role/s

I would recommend The Cornerstone Agency to others.*

YesNo

Comments:

Phone Number:

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Name:*

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Title/Relationship:

Date: *