What services are you currently receiving?(Required)Select one or multiple Respite DD Family Support Autism Family Support Supported Employment Options Counseling Nursing Home Transition Elderly Disabled Waiver Program Name:(Required) First Last Phone:(Required)Email:(Required) The goods and services I receive help me keep my family member/or self at home:(Required)DisagreeNeutralAgreeStrongly agreeThe staff at B&B is respectful to me and my family member:(Required)DisagreeNeutralAgreeStrongly agreeThe staff at B&B respond to my calls or emails in a timely manner:(Required)DisagreeNeutralAgreeStrongly agreeI perceive B&B Care Services to be a quality agency:(Required)DisagreeNeutralAgreeStrongly agreeI believe the programs provided by B&B Care Services are beneficial to the individuals served:(Required)DisagreeNeutralAgreeStrongly agreeAdditional comments or suggestions:
