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Participant Survey
bpbackend
2026-01-27T15:11:05+00:00
Participant Survey Form
BluePrint Employee/ Direct Support Professional (DSP)/ Provider’s Name:
(Required)
Please select the response that best reflects your experience with BluePrint.
Response Scale (unless otherwise noted):
1 = Very Dissatisfied / Very Unlikely
2 = Dissatisfied / Unlikely
3 = Neutral
4 = Satisfied / Likely
5 = Very Satisfied / Very Likely
1. How would you rate the overall service you have received from BluePrint?
(Required)
1
2
3
4
5
2. How likely are you to recommend BluePrint to others looking for a similar service provider?
(Required)
1
2
3
4
5
3. How satisfied are you with the support you receive from your area supporter?
(Required)
1
2
3
4
5
4. How would you rate the level of care you are receiving from your Direct Support Professional (DSP)?
(Required)
1
2
3
4
5
5. Are your questions and concerns handled in a timely manner?
(Required)
Always
Most of the Time
Sometimes
Rarely
Never
6. Do you feel you are supported in a manner that is appropriate for your needs?
(Required)
1
2
3
4
5
7. How satisfied are you with BluePrint as a service provider?
(Required)
1
2
3
4
5
8. Do you feel like your Direct Support Professional (DSP) treats you with dignity and allows you to make choices during your appointments?
(Required)
9. Does your Direct Support Professional (DSP) arrive as scheduled and maintain agreed-upon appointments?
(Required)
10. What does BluePrint do well? (Optional)
11. Do you have any suggestions on how BluePrint could improve? (Optional)
12. Additional Information or Comments (Optional) Please share any other feedback, experiences, or suggestions you would like BluePrint to know.
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