General Survey 2011 - Survey powered by eSurveysPro.com

General Survey 2011

Answers marked with a * are required.

1. Contact

Phone/TTY/Vp
Walk In Appointment
Fax
Onsite/Home Visit
Email/IM

2. What services did you request from BDHHS? (Select all that apply)

Assistive Devices (purchase, repair, delivery/set-up)
Crisis Intervention
Consultation (first time visit/call)
Daily Activities Assistance (reading mail)
Financial Assistance (heat, bill pay)
Government Assistance (unemployment, social security, irs, welfare)
Hearing Aids or Hearing Aid Repair
Housing Assistance (help finding and apartment or emergency shelter)
Legal (help finding a lawyer)
Medical Assistance
Phone Calls
Substance Abuse (information, referral)

3. How did you hear about Berks Deaf and Hard of Hearing Services?

Friend/Family Member
Work
Agency Referral
Newspaper
Health Fair
Other

4. How helpful were the services provided by BDHHS in helping you (and/or your family) in making informed decisions about your issues, needs or concerns?

Very Helpful
Somewhat Helpful
Not Helpful

5. Do you feel BDHHS has helped you to function better in your daily life activities or situations?

Yes
No
Sometimes

6. Please rate how much BDHHS has improved your quality of life

Not improved
Somewhat improved
Much improved

7. In which ways have the services helped improve your qualilty of life? (Select all that apply)

Ability to communicate effectively in various situations
Increased sense of security
Increased self-esteem
Increased socialization
Ability to hear better
Other

8. Was Client Services helpful to you in handling your daily living activities (reading mail, phone call, etc.)

Yes, very helpful
Somewhat helpful
No, not helpful

9. Was the staff of BDHHS knowledgeable?

Yes
No