How long have you been a consumer at CIL Disability Resource Center? Less than six months Six months to twelve months Thirteen months to twenty four months Twenty five months or more Who set your independent living goals? I set them myself The Center for Independent Living staff member and I set them together A Center for Independent Living staff member set them I don't know who set them Are the services you are receiving making you feel more independent? Yes, definitely helping Yes, some what No, I don't think so No, definitely not Did the Center for Independent Living Disability Resource Center staff members treat you with courtesy and respect? Yes, definitely Yes, I think so No, I don't think so No, definitely not Overall, how satisfied are you with the services you are receiving from Center for Independent Living Disability Resource Center? Very satisfied Mostly satisfied Mildly dissatisfied Very dissatisfied Check any of your current needs below: Transportation, Housing, Employment, Skills Training, Social, Recreational, Educational or Other Transportation Housing Employment Skills Training Social Recreational Educational Other Other Comments: If you would like to be contacted please leave your Name, Telephone and/or Email. Email Address Δ
