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KEPRO SIS Assessment Respondent Survey

KEPRO SIS Assessment Satisfaction Survey

Please let us know how we can improve your SIS assessment experience by answering a few simple questions.
 
5. Your Relationship to Individual: *This question is required.
6. If service provider, please indicate type of service provided:
7. How was the assessment conducted? *This question is required.
8. Did the assessment start on time? *This question is required.
9. What was the assessment length? *This question is required.
10. The interview was scheduled at a date, time and location that was convenient for me. *This question is required.
Strongly DisagreeDisagreeNeutralAgreeStrongly Agree
11. The interviewer explained the process well and provided information for me to follow along. *This question is required.
Strongly DisagreeDisagreeNeutralAgreeStrongly Agree
12. The interviewer made sure that the questions were understood by everyone and provided relevant examples when needed. *This question is required.
Strongly DisagreeDisagreeNeutralAgreeStrongly Agree
13. The interviewer allowed for discussion of specific information important to the individual; I did not feel rushed. *This question is required.
Strongly DisagreeDisagreeNeutralAgreeStrongly Agree
14. The interviewer clearly explained ratings and ensured everyone was in agreement. *This question is required.
Strongly DisagreeDisagreeNeutralAgreeStrongly Agree
15. The interviewer made me feel like I was heard and that I was an important part of the process. *This question is required.
Strongly DisagreeDisagreeNeutralAgreeStrongly Agree
16. The interview provided information that will be helpful to focus on in the individual’s support plan. *This question is required.
Strongly DisagreeDisagreeNeutralAgreeStrongly Agree
17. The interviewer conducted the assessment in a courteous, respectful and professional manner. *This question is required.
Strongly DisagreeDisagreeNeutralAgreeStrongly Agree
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