1. As a
result of services from ILICIL (including referral to
another service provider) I have been able to access
transportation (this could be because I didn't have the
information before I worked with ILICIL)
Not Applicable
Strongly Agree
Agree
Somewhat Agree
Disagree
Strongly Disagree
2. As
a result of services from ILICIL (including referral to
another service provider) I have been able to access health
care services (this could be because I didn't have the
information before I worked with ILICIL)
Not Applicable
Strongly Agree
Agree
Somewhat Agree
Disagree
Strongly Disagree
3. As
a result of services from ILICIL (including referral to
another service provider) I have been able to access
assistive technology resulting in increased independence in
at least one significant life area (this could be because I
didn't have the information before I worked with the ILICIL)
Not Applicable
Strongly Agree
Agree
Somewhat Agree
Disagree
Strongly Disagree
4. I
have become more involved in transportation, healthcare,
housing or assistive technology initiatives within my
community to increase community services available to people
with disabilities
Not Applicable
Strongly Agree
Agree
Somewhat Agree
Disagree
Strongly Disagree
5.
ILICIL staff treated me with respect
Not Applicable
Strongly Agree
Agree
Somewhat Agree
Disagree
Strongly Disagree
6.
ILICIL staff encouraged me to explore my options and try
something new
Not Applicable
Strongly Agree
Agree
Somewhat Agree
Disagree
Strongly Disagree
7.
ILICIL staff helped me to set my goals
Not Applicable
Strongly Agree
Agree
Somewhat Agree
Disagree
Strongly Disagree
8.
ILICIL staff helped me to reach my goals
Not Applicable
Strongly Agree
Agree
Somewhat Agree
Disagree
Strongly Disagree
9.
ILICIL provided information / services efficiently
Not Applicable
Strongly Agree
Agree
Somewhat Agree
Disagree
Strongly Disagree
10. ILICIL
staff let me make my own decisions
Not Applicable
Strongly Agree
Agree
Somewhat Agree
Disagree
Strongly Disagree
11. ILICIL
staff helped me to problem solve
Not Applicable
Strongly Agree
Agree
Somewhat Agree
Disagree
Strongly Disagree
12. ILICIL
staff assisted in advocating for my rights
Not Applicable
Strongly Agree
Agree
Somewhat Agree
Disagree
Strongly Disagree
13. ILICIL
assisted me in contacting others who would be helpful
Not Applicable
Strongly Agree
Agree
Somewhat Agree
Disagree
Strongly Disagree
14. ILICIL
provided adequate follow up to their service to me
Not Applicable
Strongly Agree
Agree
Somewhat Agree
Disagree
Strongly Disagree
15. ILICIL
helped me to live independently
Not Applicable
Strongly Agree
Agree
Somewhat Agree
Disagree
Strongly Disagree
16. ILICIL
provided me with a valuable service
Not Applicable
Strongly Agree
Agree
Somewhat Agree
Disagree
Strongly Disagree
17. I would
recommend ILICIL to other people with disabilities
Not Applicable
Strongly Agree
Agree
Somewhat Agree
Disagree
Strongly Disagree