Appendix B AAA HCBS Consumer Surveying Toolkit Introduction | ADMINISTRATION-5600-MANUAL

aaa This toolkit provides service specific surveys and step-by-step instructions on how to administer the surveys to assess consumer satisfaction with the service, service outcomes or the effect the service is making on the consumer’s everyday life, provider performance, and how to improve the services. Using the Toolkit will ensure that service specific data is consistently collected and reported statewide.

The following tools are included:

Attachment A: Instructions to Conduct the Surveys
Attachments B: Service Specific Surveys
- B-1 – Congregate Meals Services
- B-2 – Home Delivered Meals Services
- B-3 – Senior Center Services
- B-4 – Transportation Services
- B-5 – Case Management Services
- B-6 – Homemaker Services
- B-7 – Personal Care Services
- B-8 – Caregiver Services
- B-9 – Adult Day Care Services
- B-10 – Respite Care Services
Attachment C: Sample Consumer Cover Letter and Sample Telephone Script
Attachment D: Defining and Selecting the Survey Sample
- Attachment D-1: Calculating Sets
Attachments E: Excel Files for Compiling Survey Results and Response Rates
- E-1 – Congregate Meals Services
- E-2 – Home Delivered Meals Services
- E-3 – Senior Center Services
- E-4 – Transportation Services
- E-5 – Case Management Services
- E-6 – Homemaker Services
- E-7 – Personal Care Services
- E-8 – Caregiver Services
- E-9 – Adult Day Care Services
- E-10 – Respite Care Services