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  • Family Care Member Survey

    Disability Rights Wisconsin would like to hear about your experience with the Family Care Program. We are the Protection and Advocacy agency for people with disabilities in Wisconsin and we would like to find out how Family Care is working for people. The survey is easy and only takes about 15 minutes. Thanks in advance for helping us out.

  • *If you are a Family Care member AND a guardian, please complete this as a member.

  • Basic Information

  • Family Care Member Centered Plans

  • MCO Care Manager Issues

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  • Crisis Response

    “Crisis” means a wide variety of circumstances which could disrupt the life of a Family Care member and/or their supports and services. This could include a crisis related to a person’s physical or mental health, unexpected loss of a family caregiver, caregiver abuse or neglect, financial or other exploitation, a person’s behavior or his/her behavioral supports, eviction or threat of eviction, unexpected job loss and loss of income, etc.
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  • Informed Choice

    “Informed choice” is a process in which a member receives easily understandable information about all available options including possible risks and benefits of each option, has time to ask questions, and gets informative responses.
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  • Community Integration

    “Community Integration” means full participation of people with disabilities in community life, including participation in one’s neighborhood, work life, transportation and social life

  • Community Integration - Relocation

  • Voluntary Moves

  • Involuntary Moves

  • Community Integration - Employment

  • Mental Health and Behavioral Supports

  • Durable Medical Equipment and Assistive Technology

  • "Durable Medical Equipment" means medical devices and supplies that can be used again and again, such as a hospital bed in your home or an oxygen tank.

    "Assistive Technology" means assistive, adaptive and rehabilitative devices for people with disabilities to increase, maintain or improve their functional abilities. Examples include communication aids, special purpose computers and software, electronic devices, handheld devices, and much more.

  • Grievances and Appeals

  • Overall Satisfaction with Family Care

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  • Optional Contact Information

    You absolutely do not need to share your contact information with us, but if you do, we may contact you to ask additional questions about your Family Care experience.
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