2017 MDSOAB Survey

MDSOAB QUESTIONNAIRE

The Maine Developmental Services Oversight and Advisory Board (MDSOAB) will be submitting an Annual Report to the Health and Human Services Committee of the Maine Legislature.

We are seeking information from as many individuals as possible to accurately report on the availability and quality of developmental services provided by the Maine Office of Adult Developmental Services (OADS).

Please take a few minutes to complete the following questionnaire to assist us in hearing from you about your experiences with the developmental services in Maine.

Thank you for your time.

You may complete the questionnaire below, or download the PDF version (fillable form), or Word version and email the completed questionnaire to Nonny Soifer

* Indicates required field

Date Completed: *

Name (optional) *

First

Last

Please select one or more options as applicable: *

Do you get services provided by Maine DHHS? Do you provide services that are funded by Maine DHHS? Are you a friend/family member or guardian of someone who receives services from Maine DHHS?

Where do you live? *

Where do you receive services? *

What has been your experience with getting professional services? *

What has been your experience with Adult Protective Services? *

What has been your experience with Crisis Services? *

What has been your experience with Respite Services? *

What has been your experience with Person-Centered Planning? *

What has been your experience with Access to Services and/or Wait Lists? *

What has been your experience (if any) with State Guardianship? *

What has been your experience with Inclusion in the Community? *

Is there anything else that you think it would be important for the MDSOAB to know? *

Submit