APPENDIX B

NATIONAL BLIND REHABILITATION
SATISFACTION SURVEY

NAME:                             SS#:                

FACILITY:                         DATE:               

PHONE NUMBER:                        

1. Were you able to get into the Blind Rehabilitation Center as soon as you wanted? N=1650  
    1) You had to wait a long time 341 (21%)  
    2) You had to wait a short time 291 (18%)  
    3) You had no time preference 208 (13%)  
    4) You got in when you wanted to 319 (19%)  
    5) You got in sooner than you thought 491 (30%)  
2. Did you receive enough information about our program to prepare you for your stay? N=1657  
    1) Not at all prepared 113 (7%)  
    2) Barely prepared 125 (8%)  
    3) Somewhat prepared 301 (18%)  
    4) Very prepared 831 (50%)  
    5) Totally prepared 287 (17%)  
3. How involved would you say you were in planning your blind rehabilitation training? N=1651  
    1) Not at all involved 260 (16%)  
    2) Barely involved 142 (9%)  
    3) Somewhat involved 363 (22%)  
    4) Very involved 681 (41%)  
    5) Completely involved 205 (12%)  
4. How many of your blind rehabilitation goals were you able to reach? N=1635  
    1) None of them 40 (2%)  
    2) About a quarter of them 64 (4%)  
    3) About one half of them 136 (8%)  
    4) About three fourths of them 429 (26%)  
    5) All of them 958 (59%)  
5. How satisfied would you say you were with the training you received? N=1656  
    1) Completely dissatisfied 10 (1%)  
    2) Dissatisfied 36 (2%)  
    3) Satisfied 341 (21%)  
    4) Completely satisfied 1266 (76%)  
6. Would you say the length of your blind rehabilitation program was? N=1653  
    1) Much too long 12 (1%)  
    2) Too long 97 (6%)  
    3) About the right length 1256 (76%)  
    4) Too short 253 (15%)  
    5) Much too short 32 (2%)  
7. How satisfied would you say you were with the involvement of your family or significant other in your training program? N=1469  
    0) No family/sig. other was involved 404 (28%)  
    1) Completely dissatisfied 6 (0%)  
    2) Dissatisfied 16 (1%)  
    3) Satisfied 516 (35%)  
    4) Completely satisfied 476 (32%)  
8. How would you rate your confidence in the blind rehabilitation staff? N=1657  
    1) No confidence 5 (0%)  
    2) Hardly any confidence 10 (1%)  
    3) Some confidence 66 (4%)  
    4) A lot of confidence 498 (30%)  
    5) Complete confidence 1076 (65%)  
9. How satisfied would you say you were with the prosthetic devices you were issued? N=1654  
    1) Completely dissatisfied 12 (1%)  
    2) Dissatisfied 42 (3%)  
    3) Satisfied 485 (29%)  
    4) Completely satisfied 1076 (65%)  
10. Were you treated with respect by the blind rehabilitation staff? N=1657  
    1) Never 8 (0%)  
    2) Hardly ever 2 (0%)  
    3) Sometimes 50 (3%)  
    4) Most of the time 348 (21%)  
    5) Always 1249 (75%)  
11. Did the blind rehabilitation program improve your confidence in your abilities? N=1655  
    1) Not at all 43 (3%)  
    2) Hardly any 26 (2%)  
    3) Somewhat 212 (13%)  
    4) Very much 961 (58%)  
    5) Completely 413 (25%)  
12. How satisfied were you with the blind rehabilitation staff's willingness to listen to your concerns? N=1654  
    1) Completely dissatisfied 8 (0%)  
    2) Dissatisfied 33 (2%)  
    3) Satisfied 386 (23%)  
    4) Completely satisfied 1219 (74%)  
13. Did you receive all the blind rehabilitation services that you feel you needed? N=1652  
    1) Not at all 19 (1%)  
    2) A few of them 72 (4%)  
    3) Most of them 396 (24%)  
    4) All of them 1164 (70%)  
14. How satisfied were you with your housing accommodations? N=1653  
    1) Completely dissatisfied 4 (0%)  
    2) Dissatisfied 30 (2%)  
    3) Satisfied 577 (35%)  
    4) Completely satisfied 1039 (63%)  
15. How would you rate your overall satisfaction with the blind rehabilitation program? N=1655  
    1) Completely dissatisfied 5 (0%)  
    2) Dissatisfied 25 (2%)  
    3) Satisfied 232 (14%)  
    4) Completely satisfied 1320 (80%)  
16. Would you recommend the blind rehabilitation program to other veterans? N=1580  
    1) No, not at all 10 (1%)  
    3) Possibly 22 (1%)  
    5) Yes, completely 1545 (98%)  
17. What would you say are the major benefits that you received from the blind rehabilitation training?  
 
 
18. Do you have any suggestions for improving the blind rehabilitation training?  
 
 

 

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Last revised Fri 07/16/1999