Liberty Resources Consumer Survey 

 

 

 

 

 

 

 

 

 

 

 

 

Liberty Resources is committed to providing the best possible services to all our consumers. 
To ensure that we deliver service and care that meets your needs and expectations, we are 
conducting a survey through Novaetus, Inc. about your experience with your Survey 
Coordinator. 

 

We appreciate your honest evaluation as well as the time spent in filling out the survey. 
After you complete the survey, please place in the postage paid envelope and return in the 
mail. 

 

 

 


1. What services did you receive at LRI? 
You may choose as many as you 
received. 


 

1 . Adult Literacy 

2 . Advocacy (which means 
fighting for yourself or for other 
people with disabilities) 

3 . Deaf Advocacy 

4 . Housing Foreclosure and 
Diversion 

5 . Information & Referral 

6 . Liberty Retreads 

7 . Nursing Home Transition 

8 . Peer Support (groups or one-on-
one support) 

9 . Skills Training 

10 .Youth Transitioning 

11 .None of the above 

12 .I don't remember receiving any 
services. 

Staff Assessment 

 

2. LRI Staff know about resources that 
are available to me. 


 

1 .Yes 

2 .No 

3 .N/A 

 

3. When I call or come in to LRI, Staff 
try to help me and don't give up until 
they have helped me. 


 

.Yes 

.No 

.N/A 

 

 

 

 

 

 

 

 

Complaints 

4. I know who to talk to if I have a 
complaint about the services I 
received at LRI. 


 

1 . Yes 

2 . No 

3 . N/A 

 

5. LRI resolves complaints effectively. 


 

1 . Yes 

2 . No 

3 . N/A 

 

CIL Services 

 

6. Advocacy services, where LRI helps 
me fight for myself or change 
something in my community, are 
important to me. 


 

1 . Yes 

2 . No 

3 . N/A 

 

7. LRI has helped me to fight for myself 
until I got something that I needed. 


 

1 . Yes 

2 . No 

3 . N/A 

 

8. LRI has helped me try to change 
something specific in my community 
that will help other people with 
disabilities, too, and not just me. 


 

1 . Yes 

2 . No 

3 . N/A 

 

 

 


9. I have learned new skills, knowledge, 
or resources that I didn't have when I 
first started working with LRI. 


 

1 . Yes 

2 . No 

3 . N/A 

 

Social Connection 

 

10. I am able to talk to another person 
with a disability, or join a group of 
people with disabilities to talk about 
issues that affect me. 


 

1 . Yes 

2 . No 

3 . N/A 

 

11. Do you receive Liberty Lite, LRI's 
monthly events calendar?. 


 

1 . Yes 

2 . No 

3 . N/A 

 

12. Would you like LRI to begin mailing 
or emailing you Liberty Lite? If so, 
how would you like to receive it? 


 

1 . Large Print 

2 . CD 

3 . Braille 

4 . Email 

5 . I don't need to receive 

6 . I would not like to receive. 

 

13. Liberty Lite keeps me informed about 
events at LRI. 


 

1 . Yes 

2 . No 

3 . N/A 

 

 

 

 

Satisfaction 

 

14. I am more independent now than 
before I worked with LRI. 


 

1 . Yes 

2 . No 

3 . N/A 

 

15. I would recommend LRI to other 
people. 


 

1 . Yes 

2 . No 

3 . N/A 

 

16. When you first contacted LRI, how 
would you rate the time that Staff 
took to respond? 


 

1 . Excellent 

2 . Good 

3 . Average 

4 . Somewhat poor 

5 . Poor 

 

17. How do you rate the quality of 
services you receive from LRI? 


 

1 . Excellent 

2 . Good 

3 . Average 

4 . Somewhat poor 

5 . Poor 

 

Needs Assessment 

 

18. I am able to do things I enjoy outside 
of my home when and with whom I 
want. 


 

1 . Yes 

2 . No 

3 . N/A 

 


19. I feel in control of my life 


 

1 . Yes 

2 . No 

3 . N/A 

 

20. I like where I am living 


 

1 . Yes 

2 . No 

3 . N/A 

 

1 . Yes 

2 . No 

3 . N/A 

 

21. I have transportation to get to medical 
appointments when I need to 


 

1 . Yes 

2 . No 

3 . N/A 

 

22. I receive information about my 
services in the language I prefer (if 
non-English). 


 

1 . Yes 

2 . No 

3 . N/A 

 

23. I feel safe at home 


 

1 . Yes 

2 . No 

3 . N/A 

 

24. I can choose or change the kind of 
services I get and determine how 
often and when I get them 


 

 1 . Yes 

2 . No 

3 . N/A 

 

 

 

25. Someone has talked to me about job 
options 


 

1 . Yes 

2 . No 

3 . N/A 

 

 

 

26. I always get enough assistance with 
self-care when I need it (if need any 
assistance) (things like bathing, 
dressing, going to the bathroom, 
eating, or moving around my home) 


 

1 . Yes 

2 . No 

3 . N/A 

 

 

 

Thank You for Completing the 
Survey! 

 

Please place in the 

self addressed and postage-paid 
envelope provided!