CONSUMER SURVEY

We want to provide the best quality services possible. Please let us know what we are doing great and what we can improve. We welcome your comments. Please know that your contact information is optional and only used to potentially win an iPad.

Your Name
Your Name
Staff Name
Staff Name
Please share us the staff member who worked with you.
How long have you been a consumer at the CIL? *
Who set your independent living goals? *
The services I recieved helped me to become more independent. *
I take part in community activities as much as I want. *
The staff treated me with courtesy and respect. *
I learned about the independent living philosophy. *
Overall, how satisfied are you with the services you receive from the CIL? *