Yearly Project Satisfaction - 2011

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Yearly Project Satisfaction - 2011 1. DeafBlind Central: Michigan's Training and Resource Project

 

According to our records, you have accessed DB Central services within the last year (since January 2011) and we hope  that you will take a few minutes to complete the following satisfaction survey. Your feedback will enable us to see how  we are doing and find out how we can improve our services. We appreciate your input!    If you have any questions, please contact the project office at:    DeafBlind Central  Central Michigan University  Sloan 105  Mount Pleasant, Michigan 48859    Phone: (989) 774­2725  Toll­Free: (888) 758­0508  VP: (989) 774­2726  Fax: (989) 774­1572    Email: [email protected] 

 

2. Role/Occupation

What is your primary role/occupation? j Parent, Guardian, or Family member k l m n j Administrator k l m n j Interpreter k l m n

 

 

 

j Adult Service Provider k l m n j Early Interventionist k l m n

 

 

j Special Education Teacher k l m n j Consultant k l m n

 

 

j Paraprofessional k l m n

 

j Related Services Provider k l m n

 

j General Education Teacher k l m n j Other (please specify): k l m n

 

   

3. Family Support Services

 

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Yearly Project Satisfaction - 2011 Please indicate which of the following Family Support Services you have accessed in the past year (since January 2011). c Assistance connecting with other parents of children with deafblindness d e f g c Consultation (e.g.,onsite visit, telephone, email, other) d e f g

 

c Family events (e.g., retreat at Camp T, Challenge Mountain) d e f g c Information/resources d e f g

 

 

 

c Monthly email updates d e f g

 

c Referral to other agencies/organizations d e f g c Scholarships to attend events d e f g

 

 

c I have not accessed DB Central's Family Support Services d e f g c Other (please specify): d e f g

 

 

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6   If you would like more information on any or all of these services, please contact the Family Support Coordinator, Jennifer Bigelow­Stambaugh, at:    DeafBlind Central  Central Michigan University  Sloan 105  Mount Pleasant, Michigan 48859    Phone: (989) 774­7888  Toll­Free: (888) 758­0508  VP: (989) 774­2726  Fax: (989) 774­1572    Email: [email protected] 

4. Family Support Services

 

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Yearly Project Satisfaction - 2011 Please indicate why you have not accessed Family Support Services. 5

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5. Family Support Services

 

Please rate the impact that Family Support Services has had on: Other  Positive

Negative

It's too soon to tell

Not applicable (N/A)

Your child

j k l m n

j k l m n

j k l m n

j k l m n

You

j k l m n

j k l m n

j k l m n

j k l m n

Others (spouses, siblings, 

j k l m n

j k l m n

j k l m n

j k l m n

relatives)

6. Family Support Services

 

What recommendations or comments do you have for DB Central's Family Support Services? 5

6  

7. New Referral

 

Did you access DB Central's services for the first time in the last year (since January 2011)?  

j Yes k l m n j No k l m n

 

8. New Referral

 

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Yearly Project Satisfaction - 2011 How did you find out about DB Central? j A DB Central brochure k l m n j Parents k l m n

 

 

j Internet or project website (www.dbcentral.org) k l m n j DB Star, the project newsletter k l m n

 

j Another agency or organization k l m n j School staff k l m n

 

 

 

j A doctor, physician, or other medical provider k l m n j Other (please specify): k l m n

 

   

9. New Referral

 

Please specify the agency/organization where you first found out about DB Central. 5

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10. New Referral

 

How helpful was the information you received in the DB Central referral/information packet? j Extremely helpful k l m n j Very helpful k l m n

 

 

j Moderately helpful k l m n j Slightly helpful k l m n

 

 

j Not at all helpful k l m n

 

j I did not receive a packet, I accessed information via the website. k l m n j Not applicable (N/A) k l m n

 

 

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Yearly Project Satisfaction - 2011 11. New Referral Please describe what was helpful or not helpful about the referral/information packet, including your suggestions for improvements. 5

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12. New Referral

 

After a request for services was made, how long did you wait before receiving initial services from DB Central? j Extremely long k l m n j Very long k l m n

 

 

j Moderately long k l m n j Slightly long k l m n

 

 

j Not at all long k l m n

 

13. New Referral

 

About how long did you wait before you received initial services? j Less than 1 week k l m n j 1 to 2 weeks k l m n

 

 

Other    j 3 weeks to 1 month k l m n

j More than 1 month k l m n

 

14. Newsletter ­ DB Star

 

Do you receive DB Central's newsletter, DB Star, via mail or email link?  

j Yes k l m n j No k l m n

 

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Yearly Project Satisfaction - 2011 15. Newsletter ­ DB Star

 

DB Star is published 3 times per year. Issues include up­to­date information on deafblindness, event highlights and announcements from DB Central, and a variety of resources. Would you like to begin receiving DB Star? j No k l m n

   

j Yes k l m n

16. Newsletter ­ DB Star

 

Please include your contact information below so that we can keep you updated with the latest edition of DB Star. Name: Address: Address 2: City/Town: State:

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ZIP: Email Address: If you are interested in having paper issues of DB Star mailed to you instead of receiving an email link, please contact the project office at:    DeafBlind Central  Central Michigan University  Sloan 105  Mount Pleasant, Michigan 48859    Phone: (989) 774­2725  Toll­Free: (888) 758­0508  VP: (989) 774­2726  Fax: (989) 774­1572    Email: [email protected] 

17. Newsletter ­ DB Star

 

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Yearly Project Satisfaction - 2011 How often do you read DB Star? j Always k l m n

 

j Frequently k l m n

 

j Sometimes k l m n j Rarely k l m n j Never k l m n

 

 

 

18. Newsletter ­ DB Star

 

Rate your satisfaction with the following features of the newsletter. Very satisfied

Somewhat satisfied

Neutral

Somewhat dissatisfied

Very dissatisfied

Length

j k l m n

j k l m n

j k l m n

j k l m n

j k l m n

Content

j k l m n

j k l m n

j k l m n

j k l m n

j k l m n

Layout

j k l m n

j k l m n

j k l m n

j k l m n

j k l m n

Images

j k l m n

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j k l m n

j k l m n

j k l m n

Color

j k l m n

j k l m n

j k l m n

j k l m n

j k l m n

19. Newsletter ­ DB Star

 

Overall, how satisfied are you with DB Star? j Very satisfied k l m n

 

j Somewhat satisfied k l m n j Neutral k l m n

 

 

j Somewhat dissatisfied k l m n j Very dissatisfied k l m n

 

 

20. Newsletter ­ DB Star

 

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Yearly Project Satisfaction - 2011 Please list your ideas for improvements or additions to include in future issues of the project newsletter. 5

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21. Website ­ www.dbcentral.org

 

Have you accessed DB Central's website, www.dbcentral.org, anytime in the past year (since January 2011)?  

j Yes k l m n j No k l m n

 

On DB Central's website, www.dbcentral.org, you will find information about the project, materials for families and professionals, access to the  project newsletter, a list of resources available through the Lending Library, upcoming events, training modules, webcasts, and more! 

22. Website ­ www.dbcentral.org

 

In general, what was the purpose of your visit(s) to www.dbcentral.org? 5

6  

23. Website ­ www.dbcentral.org

 

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Yearly Project Satisfaction - 2011 Which areas of the website have you accessed? Please select all that apply. c Webcast d e f g c Events d e f g

 

 

c Feedback d e f g

 

c Project Information d e f g c Contact Us d e f g c Newsletter d e f g

 

 

 

c Resource Guide d e f g c Lending Library d e f g

 

 

c Training Modules d e f g c For Families d e f g

 

 

c Purchasing Materials d e f g

 

 

c Forms d e f g

c Other (please specify): d e f g

   

24. Website ­ www.dbcentral.org

 

How often do you visit the project website?  

j Daily k l m n

j Weekly k l m n

   

j Monthly k l m n

j Quarterly k l m n

 

 

j Annually k l m n

25. Website ­ www.dbcentral.org

 

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Yearly Project Satisfaction - 2011 Please rate the following attributes of the project website. Very satisfied

Somewhat satisfied

Neutral

Somewhat dissatisfied

Very dissatisfied

Organization of the website

j k l m n

j k l m n

j k l m n

j k l m n

j k l m n

Quality of the information 

j k l m n

j k l m n

j k l m n

j k l m n

j k l m n

j k l m n

j k l m n

j k l m n

j k l m n

j k l m n

Attractiveness of the design

j k l m n

j k l m n

j k l m n

j k l m n

j k l m n

Helpfulness in meeting your 

j k l m n

j k l m n

j k l m n

j k l m n

j k l m n

available Clarity of the information  available

needs Comments: 

5

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26. Website ­ www.dbcentral.org

 

Overall, how satisfied are you with DB Central's website? j Very satisfied k l m n

 

j Somewhat satisfied k l m n j Neutral k l m n

 

 

j Somewhat dissatisfied k l m n j Very dissatisfied k l m n

 

 

27. Website ­ www.dbcentral.org

 

How would you describe our website in one or more words? 5

6  

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Yearly Project Satisfaction - 2011 28. Website ­ www.dbcentral.org

 

What recommendations do you have for improving or adding to the project website? 5

6  

29. Lending Library

 

Have you accessed the DB Central Lending Library in the last year (since January 2011)?  

j Yes k l m n j No k l m n

 

30. Lending Library

 

DB Central's Lending Library provides a variety of books, videos, and other resources that are available for loan by families, teachers, and other  services providers of children who are deafblind in Michigan.    For more information or to view available materials, contact the project office at:    DeafBlind Central  Central Michigan University  Sloan 105  Mount Pleasant, Michigan 48859    Phone: (989) 774­2725  Toll­Free: (888) 758­0508  VP: (989) 774­2726  Fax: (989) 774­1572    Email: [email protected] 

31. Lending Library

 

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Yearly Project Satisfaction - 2011 Please indicate the types of resources you borrowed from DB Central's Lending Library in the past year (since January 2011). Select all that apply. c Video/DVD d e f g c Book d e f g

 

 

c Flip Camera d e f g

 

c Other (please specify): d e f g

   

32. Lending Library

 

Please rate the following attributes of the project's Lending Library. Very satisfied

Somewhat satisfied

Neutral

Somewhat dissatisfied

Very dissatisfied

Ease of use

j k l m n

j k l m n

j k l m n

j k l m n

j k l m n

Information and materials 

j k l m n

j k l m n

j k l m n

j k l m n

j k l m n

j k l m n

j k l m n

j k l m n

j k l m n

j k l m n

j k l m n

j k l m n

j k l m n

j k l m n

j k l m n

available Timeframe in which  materials were provided Usefulness

33. Lending Library

 

Overall, how satisfied are you with DB Central's Lending Library? j Very satisfied k l m n

 

j Somewhat satisfied k l m n j Neutral k l m n

 

 

j Somewhat dissatisfied k l m n j Very dissatisfied k l m n

 

 

34. Lending Library

 

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Yearly Project Satisfaction - 2011 Please provide suggestions for improvements or materials to add to DB Central's Lending Library. 5

6  

35. Educational Consultation

 

In the past year (since January 2011), has your child/student's school team accessed DB Central's educational consultation services?  

j Yes k l m n j No k l m n

 

36. Educational Consultation

 

Please specify why your child/student's team has not accessed educational consultation services. 5

6  

37. Educational Consultation

 

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Yearly Project Satisfaction - 2011 Which of the following educational consultation services have you accessed in the past year (since January 2011)? Please select all that apply. c Distance consultation (email, phone, video review, other) d e f g c Information or resources d e f g c Support at meetings d e f g c Onsite consultation d e f g

 

 

 

 

c Team training specific to a student d e f g

 

c Referral to other agencies or organizations d e f g

 

If you would like more information on any or all of these services, contact the Project Director, Beth Kennedy, at:    DeafBlind Central  Central Michigan University  Sloan 105  Mount Pleasant, Michigan 48859    Phone: (989) 774­2726  Toll­Free: (888) 758­0508  VP: (989) 774­2726  Fax: (989) 774­1572    Email: [email protected] 

38. Educational Consultation

 

Please rate the impact that DB Central's educational consultation services have had on: Positive

Negative

It is too soon to tell

Not applicable (N/A)

j k l m n

j k l m n

j k l m n

j k l m n

You

j k l m n

j k l m n

j k l m n

j k l m n

Other school personnel 

j k l m n

j k l m n

j k l m n

j k l m n

Your child/student who is  deafblind

(paraprofessionals,  teachers, consultants,  interveners, etc.)

39. Educational Consultation

 

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Yearly Project Satisfaction - 2011 Please list any suggestions you have for DB Central's educational consultation services. 5

6  

40. General Project Questions

 

Please rate the following attributes of DB Central. Very satisfied

Somewhat  satisfied

Neutral

Somewhat  dissatisfied

Very dissatisfied

It is too soon to  Not applicable  tell

(N/A)

Usefulness of services

j k l m n

j k l m n

j k l m n

j k l m n

j k l m n

j k l m n

j k l m n

Timeframe in which services 

j k l m n

j k l m n

j k l m n

j k l m n

j k l m n

j k l m n

j k l m n

j k l m n

j k l m n

j k l m n

j k l m n

j k l m n

j k l m n

j k l m n

j k l m n

j k l m n

j k l m n

j k l m n

j k l m n

j k l m n

j k l m n

j k l m n

j k l m n

j k l m n

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were provided Accessibility of project staff  for follow­up Respectfulness and courtesy  of project staff members Ability of project staff to  address concerns and/or  answer questions Helpfulness of resources  provided by project staff

41. General Project Questions

 

How likely are you to continue using DB Central's services? j Extremely likely k l m n j Very likely k l m n

 

 

j Moderately likely k l m n j Slightly likely k l m n

 

 

j Not at all likely k l m n

 

42. General Project Questions

 

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Yearly Project Satisfaction - 2011 Please describe why you are likely or unlikely to continue using services provided by DB Central. 5

6  

43. General Project Questions

 

How likely are you to recommend DB Central to others? j Extremely likely k l m n j Very likely k l m n

 

 

j Moderately likely k l m n j Slightly likely k l m n

 

 

j Not at all likely k l m n

 

44. General Project Questions

 

Please indicate why you are likely or unlikely to recommend DB Central's services to others. 5

6  

45. General Project Questions

 

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Yearly Project Satisfaction - 2011 Which of the following categories best describes how long you have been utilizing DB Central services? j Less than 1 year k l m n

 

j 1 year to less than 3 years k l m n

 

j 3 years to less than 5 years k l m n j 5 years or more k l m n

 

 

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