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.
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
YOUR VOICE BE HEARD!
IMPORTANT! This survey is to be completed by Endependence
Center participants only.
This survey is different than last yearís 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, youíre done!
All Information Provided Will Be Kept Confidential.
Thank you for completing this survey!
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
Centerís 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.
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.
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
To view the PDF format you must have Adobe Acrobat Reader on
Click the image below to get Adobe Acrobat reader for free