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Endependence Center, Inc.

Disability Advocacy and Services

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Endependence Center - 2011 Survey

The ECI Consumer Advisory Committee (CAC) is a group of people who receive ECI services and is

appointed by the ECI Board for the purpose of surveying other participants each year regarding the

quality of services they received from ECI staff.  The surveys are conducted and the results calculated

independently by the CAC members without interference from ECI staff.  It is very important that we hear

from everyone so we can assure our services are of high quality and meet your needs.  Please complete

downloadable survey and return it to ECi at your earliest convenience.

LET YOUR VOICE BE HEARD!

IMPORTANT!  This survey is to be completed by Endependence Center participants only.  

This survey is different than last year’s survey.  Even if you filled one out last year, please also fill one out

this year. However, once is enough!  We only need one survey from you for 2011, so if you fill it out at an

ECI event or in the mail, you’re done!

All Information Provided Will Be Kept Confidential.

Thank you for completing this survey!

The information you provide will be helpful to ECI in both planning needed services and assuring the quality

of current services.  The CAC Committee members compile the result of the survey and submit a written report

to the Center’s Executive Director, management staff and Board of Directors for review and to aid in planning.

A new Participant Satisfaction Survey instrument is now available and can be downloaded by clicking the options

below for either the Word format or Adobe Reader (pdf) format.

If you need the survey in Braille or large print or need someone to help you fill it out, leave a message in the CAC

voice mailbox by calling 461-8007 ext. 329.

Word Version of  Survey                 PDF (Adobe Reader) Version of Survey
 

to leave a message and your call will be returned by a CAC member.

To view the PDF format you must have Adobe Acrobat Reader on your computer.
Click the image below to get Adobe Acrobat reader for free

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Endependence Center, Inc.
6300 East Virginia Beach Blvd.
Norfolk, VA 23502-2827
Phone:  (757) 461-8007 Voice
(757) 461-7527 TDD
Fax:  (757) 455-8223 or (757) 461-5375

Last updated on 7/27/11