community survey: print version
 
Carroll County Board of Mental Retardation & Developmental Disabilities
community survey

Person responding:
___ Public Official ___ Volunteer ___ Staff   ___ Board Member ___ Other

1. Have your interactions with the Carroll County Board of MR/DD been positive or helpful? ____________________________________________________________________
____________________________________________________________________
____________________________________________________________________
____________________________________________________________________

2. Do we respond promptly to the needs of the individuals referred?
____________________________________________________________________
____________________________________________________________________
____________________________________________________________________
____________________________________________________________________

3. Carroll Co. MR/DD's major area of services should be:
____________________________________________________________________
____________________________________________________________________
____________________________________________________________________
____________________________________________________________________

4. Carroll Co. MR/DD's expanded area of services should be:
____________________________________________________________________
____________________________________________________________________
____________________________________________________________________
____________________________________________________________________

5.  For the good of the agency and those served, I feel improvements could be made by: ____________________________________________________________________
____________________________________________________________________
____________________________________________________________________
____________________________________________________________________

6.  What are your thoughts on dropping "Mental Retardation" from our official name of
Carroll County Board of Mental Retardation and Developmental Disabilities? ____________________________________________________________________
____________________________________________________________________
____________________________________________________________________
____________________________________________________________________

Please return your completed survey at one of locations or mail to:
Carroll County MR/DD Community Survey
P.O. Box 429
Carrollton, OH 44615