Ocean State Center for Independent Living

" People Helping People Achieve Independence "

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OSCIL Values Your Feedback

OSCIL wants to provide the highest possible quality services to individuals with disabilities--our customers. If you will take a few moments to provide your feedback on the Center, it will be much appreciated. Any ideas for improving the Center’s services and responsiveness are also welcomed. Please feel free to comment at the end of this form.

1. Your disability. (optional)

2. How did you hear about us?

3. Why did you call or come in?

4. How much did your contact with OSCIL increase your ability to access other services on your own?

Not well 1 2 3 4 5 Greatly N/A

5. How would you rate the information you got from OSCIL?

Not Helpful 1 2 3 4 5 Extremely Helpful N/A

6. How would you rate the services you received from us in terms of increasing your control over your life?

Not Helpful 1 2 3 4 5 Extremely Helpful N/A

7. How good were we as "listeners" to you? Did we understand your needs?

Not WillingTo Listen 1 2 3 4 5 Listened Carefully N/A

8. How likely are you to call or contact us for assistance in the future?

Not Likely 1 2 3 4 5 Very likely N/A

9. What other services would you like to see at OSCIL?

Enter your comments in the space provided below:

Would you like for Lorna Ricci, OSCIL Executive Director, to contact you to discuss your feedback ideas?

NO YES (If YES, be sure to complete the information below.)

Name

Telephone number or e-mail address

THANK YOU FOR YOUR FEEDBACK!!!

Please feel free to contact us at:

OSCIL
1944 Warwick Avenue
Warwick, RI 02889
    (Located in the Beacon Center)
Telephone:
     401-738-1013 (main office-voice)
     866-857-1161 (Toll Free - Voice)
     401-738-1015 (main office-TTY)
Fax: 401-738-1083
E-mail us at: info@oscil.org
Web: info@oscil.org