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GENERATIONS HOME
Case Management
Please don't fill out this input box.
Generations,
your local Area Agency on Aging, invites you to help us improve the quality of our Case Management service by completing the following one-page survey. Your responses are confidential and valuable to us as the results will determine what actions are needed to make improvements. Please click the name of your case manager and click the number that corresponds with the column questions below.
Case Manager
*
Sarah Bockhold
Angela Cambron
Shannon Graber
Kelly Kolehouse
Brooke Midgett
Mackenzie Miller
Ashley Swartzentruber
Brooke Wagler
Jodie Watson
Crystal Winkler
Valerie Wood
Chalee Yoder
I know how to contact my case manager. She returns my calls promptly within 24 hours.
*
Strongly Disagree
Somewhat Disagree
Somewhat Agree
Strongly Agree
I am satisfied with my case manager.
*
Strongly Disagree
Somewhat Disagree
Somewhat Agree
Strongly Agree
My Case Manager provided me with useful health management information and community resource information.
*
Strongly Disagree
Somewhat Disagree
Somewhat Agree
Strongly Agree
I am aware that I have my choice of in-home service providers.
*
Strongly Disagree
Somewhat Disagree
Somewhat Agree
Strongly Agree
My CM involved me in developing my plan of care and respected my needs and preferences regarding my health and services.
*
Strongly Disagree
Somewhat Disagree
Somewhat Agree
Strongly Agree
My CM allowed me to discussed my personal goals and long-term goals and barriers to meet my goals.
*
Strongly Disagree
Somewhat Disagree
Somewhat Agree
Strongly Agree
My CM discussed life planning activities such as living wills, legal documents, and health care representatives.
*
Strongly Disagree
Somewhat Disagree
Somewhat Agree
Strongly Agree
I feel confident that I can stay in my home for at least the next six months.
*
Strongly Disagree
Somewhat Disagree
Somewhat Agree
Strongly Agree
Since receiving services from Generations, I feel less lonely.
*
Strongly Disagree
Somewhat Disagree
Somewhat Agree
Strongly Agree
Since receiving services from Generations, my stress has been reduced.
*
Strongly Disagree
Somewhat Disagree
Somewhat Agree
Strongly Agree
Since receiving services from Generations, my daily personal needs have been met.
*
Strongly Disagree
Somewhat Disagree
Somewhat Agree
Strongly Agree
I feel I am as independent as I can be.
*
Strongly Disagree
Somewhat Disagree
Somewhat Agree
Strongly Agree
I would recommend Generations to a friend.
*
Strongly Disagree
Somewhat Disagree
Somewhat Agree
Strongly Agree
Additional Comments
Thank you for your time, your feedback is appreciated
Form UUID
Site Name
Submit
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Options Counseling Services
Please don't fill out this input box.
Generations,
your local Area Agency on Aging, invites you to help us improve the quality of our Option Counseling service by completing the following one-page survey. Your responses are confidential and very valuable to us as the results determine if actions are needed to make improvements. Please circle the options counselor and circle the number that corresponds with the appropriate column.
Options Counselor
*
Cindy Bailey
Paige Jones
Lindsey Oliver
Alisha Patton-Smeltzer
Nicole Stein
Heather Stroud
Candice Swain
Shelby Wimmenauer
Jana Yochum
The Options Counselor was easy to reach and returned my phone calls within at least 24 hours.
*
Strongly Disagree
Somewhat Disagree
Somewhat Agree
Strongly Agree
I am satisfied with the visit or phone call I received.
*
Strongly Disagree
Somewhat Disagree
Somewhat Agree
Strongly Agree
The Options Counselor provided valuable health management information and/or community resource information.
*
Strongly Disagree
Somewhat Disagree
Somewhat Agree
Strongly Agree
I was able to follow-up on the information they gave me.
*
Strongly Disagree
Somewhat Disagree
Somewhat Agree
Strongly Agree
The Options Counselor allowed me to discuss my personal goals and long-term goals, and barriers to meet my goals.
*
Strongly Disagree
Somewhat Disagree
Somewhat Agree
Strongly Agree
The OC involved me in developing my plan of care and respected my needs and preferences regarding my health and services.
*
Strongly Disagree
Somewhat Disagree
Somewhat Agree
Strongly Agree
During the visit the OC discussed life planning activities, such as living wills, legal documents, and health care representatives.
*
Strongly Disagree
Somewhat Disagree
Somewhat Agree
Strongly Agree
I feel confident that I can stay in my home for at least the next six months.
*
Strongly Disagree
Somewhat Disagree
Somewhat Agree
Strongly Agree
I feel lonely
*
Strongly Disagree
Somewhat Disagree
Somewhat Agree
Strongly Agree
My stress level regarding my health is high.
*
Strongly Disagree
Somewhat Disagree
Somewhat Agree
Strongly Agree
As of today, I feel my daily personal needs are being met.
*
Strongly Disagree
Somewhat Disagree
Somewhat Agree
Strongly Agree
I feel I am as independent as I can be.
*
Strongly Disagree
Somewhat Disagree
Somewhat Agree
Strongly Agree
I would recommend Generations to a friend.
*
Strongly Disagree
Somewhat Disagree
Somewhat Agree
Strongly Agree
Additional Comments
Thank you for your time, your feedback is appreciated.
Form UUID
Site Name
Submit
Clear
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