C. Saks Behavior Therapy Services

Service Satisfaction Survey

1)Is the BSC available and responsive to requests for consultation, training and site visits in a timely manner? always usually sometimes rarely never not applicable 2) Does the BSC collaborate adequately with the interdisciplinary team and model positive communication, advocacy and respect for multiple viewpoints?  always usually sometimes rarely never not applicable 3) Does the positive behavior support plan include input from critical team members?   always usually sometimes rarely never not applicable

4) Does the BSC use the team process and consensus building to make decisions that impact the individual’s quality of life, human rights, dignity of risk (as opposed to going outside the team process)?  always usually sometimes rarely never not applicable 5) Does the BSC develop person-centered and relevant behavior support strategies? always usually sometimes rarely never not applicable 6) Do you feel services have had a positive effect on caregivers’ management of challenging behaviors as well as sensitivity and understanding of client needs?   always usually sometimes rarely never not applicable

7) Overall, does the BSC conduct him/herself in a professional manner?    always usually sometimes rarely never not applicable

8) Overall, are you satisfied with the BSC services?  always usually sometimes rarely never not applicable

Optional : I am client case manager direct service professional family member guardian therapist other

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