Living Well Iowa logo

Living Well Iowa
Use CTRL ++
to enlarge text

Home page

Site map

Living well

Continuing to live well

Staying healthy

Class locations

Participants

Facilitators

Other resources

Contact us
 

Living Well with Disability
Consumer Satisfaction Survey


This evaluation will help us to make LWD trainings the very best they can be. Please be honest. Your comments are very helpful. If you prefer to complete this survey on paper, it is also available in MSWord.


1. How satisfied are you with your LWD training?

Please check only one response

4

3              2

1

Highly satisfied

Somewhat satisfied

Not at all satisfied

2. Overall, did your knowledge or skills
    increase through this training?

Please check only one response
5   4   3   2  1
A lot           Some             None

 Comments:

3.   Did the facilitators make you feel comfortable and include you in the discussions?

Please check only one response
5   4   3  2  1
 Very       Somewhat    Not at all

 Comments:

4a. Did the facilitators know their subject?

Please check only one response
5   4   3   2  1
Yes         Somewhat          No

Comments:

4b. Were facilitators good at presenting
      information?

 

Please check only one response
5   4   3  2  1
  Yes        Somewhat       No

Comments:

5.    Any other comments about the facilitators for this program?
         

6.  Did you get the accommodations (for PAS, interpreters, materials in readable formats, etc.) you requested?
 Yes   No

What accommodations did you need?

7.   Did staff help you get transportation to classes? Yes   No

If yes, how important for you was  transportation, in terms of being able to attend LWD?

Please check only one response
5   4   3  2  1
Very        Somewhat     Not at all

8.    Was the location of LWD accessible for you? (Please check only one response)
 Yes  
No - Please tell us why:

9.   How important to you was “peer 
support” from other participants?

 

Please check only one response
5    4   3   2  1
Very       Somewhat      Not at all

Comments:

10.  How satisfied were you with the
       Living Well with a Disability Manual?

Please check only one response
5  4   3  2  1
Very       Somewhat       Not
satisfied  satisfied      satisfied

Comments:

11.  How satisfied were you with the
       Living Well with a Disability
       workbook?

Please check only one response
5   4   3   2  1
 Very        Somewhat       Not
satisfied   satisfied      satisfied

Comments:

12. Would you recommend LWD to other people with disabilities?
       Please check only one response.

                  Yes     No     I have already told others about LWD

13. Please tell us what we could do to improve future LWD training:


THANK-YOU!!

Click "Submit" to send us your survey 

Click "Reset" to erase all your answers  

 

Home page | Site map | Living well| Continuing to live well | Staying healthy
Class locations |  Participants  |Facilitators |Other resources|Contact us

© Copyright Living Well Iowa, 2010-2012