SAM – End of Year Survey

Fields marked with an * are required

The SAM End of Year Survey should be completed by everyone who has participated in SAM activities over the past contract year (August to August). We collect this same information from DETS Course graduates so do not have anyone who has graduated from DETS this past year fill this out again. Unlike SAM Monthly Reports or DETS Sectional Surveys, this needs to be completed individually by each self-advocate with as much or little support as needed.

Please answer the following group of questions with a YES or NO. Because of Self-Advocacy activities:

Please help us to know how your levels of independence, productivity, self-determination, integration and inclusion have increased as a result of participating in this Self-Advocacy training session. Evaluate yourself on a scale of 1 (lowest) to 5 (highest) for each measure.