LifePath Services Parent/Guardian Satisfaction Survey
Thank you for taking the time to complete the following survey. Little City Foundation is always striving for feedback from the individuals and families we serve in order to improve our program and services to better meet your needs. Results will be shared with leadership in a final aggregate report. The information you provide will remain anonymous unless you request that it be provided to program leadership in the general comment section.
Today's Date
Today's Date
Please answer all of the questions below by marking the response that matches your level of agreement or disagreement with the statement. If the statement does not pertain to the services provided please mark N/A.
COMMUNICATION/DECISION MAKING
COMMUNICATION/DECISION MAKING
 
HOME ENVIRONMENT
HOME ENVIRONMENT
 
PROGRAM SERVICES-RESIDENTIAL
PROGRAM SERVICES-RESIDENTIAL
 
HEALTH AND WELLNESS
HEALTH AND WELLNESS
 
PROGRAM SERVICES- DAY TRAINING/VOCATIONAL/ART PROGRAMSPlease check the location(s) where your family member/ward receives programming during the daytime hours.
PROGRAM SERVICES- DAY TRAINING/VOCATIONAL/ART PROGRAMS

Please check the location(s) where your family member/ward receives programming during the daytime hours.
The questions in this section pertain to any of the locations Little City Foundation provides programming services throughout the day time hours.
The questions in this section pertain to any of the locations Little City Foundation provides programming services throughout the day time hours.
 
OTHER SERVICES
OTHER SERVICES
 
A FEW LAST QUESTIONS
What one thing does LCF do really well?
What one thing would you like to see LCF change?
Is there any particular Little City Foundation staff member who you would like to recognize for his/her outstanding efforts in supporting you and your family?  If so, please share some details about your experience.
Your suggestions are welcomed. Please take a minute to comment on areas of satisfaction or dissatisfaction with your experience with Little City.
Location where your family member/ward lives
Name of Family member/ward in our program (Optional)
Name of Family member/ward in our program (Optional)
Your name (Optional)
Your name (Optional)
Your email address (Optional)
Your email address (Optional)