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
 
 
If you have questions about the survey,

you can contact the CAC by calling (757) 461-8007 Ext. 329

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