Participant Satisfaction Survey Participant Satisfaction Survey How likely is it that you would recommend Harmony Living Community Services to a friend or colleague? (1 being would not recommend and 5 being would highly recommend) * 12345 Overall, how satisfied or dissatisfied are you with Harmony Living Community Services? * Very satisfiedSomewhat satisfiedNeither satisfied nor dissatisfiedSomewhat dissatisfiedVery dissatisfied How did you hear or find out about Harmony Living Community Services? * Referred to by a Support CoordinatorRecommended by friend/colleagueNewspaper/magazine articleSocial MediaGoogle SearchEvent Which of the following services have you received or accessed in the past 12 months? * Supported Independent livingRespiteCommunity AccessPersonal CareHousehold TasksLife-skills How responsive have we been to your questions or concerns about our services? * Very responsiveSomewhat responsiveSomewhat unresponsiveNot responsive at all How long have you been receiving services from Harmony Living Community Services? * Less than six monthsSix months to a year1 - 2 years3 or more years In the past 12 months, how frequently have you accessed or received services from Harmony Living Community Services? * DailyWeeklyFortnightlyMonthlyEvery 3-6 MonthsEvery 6 months or more Are you satisfied with access to and understanding of relevant service and program information? * YesNoOther Are you satisfied with the support you receive to make your own choices and decisions? * YesNoOther Are you satisfied with the information provided to enable you to make informed decisions? * YesNoOther Are you satisfied with the quality of services you receive from Harmony Living Community Services? * YesNoOther Would you say that your human and legal rights are upheld during our service planning and delivery? * YesNoOther Do you understand what to do if your rights are violated? * YesNo Are you satisfied with the support you are provided to exercise choice and control over your rights and responsibilities? * YesNo Do you feel confident that your private and confidential information is protected? * YesNo Are you confident in your understanding of reporting potential or actual risks and allegations of abuse and neglect and the expected timeframe for responses? * YesNo Are you satisfied with the information provided and the action taken in regard to the safety issues raised? * YesNoOther Are you satisfied with your ability to make complaints? * YesNo Have you found it easy to submit complaints and feedback? * YesNo Do you have any other comments, questions, or concerns? Would you like to give us a small testimony that we can put on our website without using your real name? Contact information Name : Email : Phone :