Participant Survey Form

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)
2. How likely are you to recommend BluePrint to others looking for a similar service provider?(Required)
3. How satisfied are you with the support you receive from your area supporter?(Required)
4. How would you rate the level of care you are receiving from your Direct Support Professional (DSP)?(Required)
5. Are your questions and concerns handled in a timely manner?(Required)
6. Do you feel you are supported in a manner that is appropriate for your needs?(Required)
7. How satisfied are you with BluePrint as a service provider?(Required)