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IM4Q Residential Providers Survey 2025

Questions marked with a * are required

The purpose of this survey is to engage ODP residential providers in an evaluation of their knowledge of and experience with IM4Q. ODP requests that providers have the person who may be most familiar with the IM4Q process complete the survey. The deadline for completion is 7/11/25.

Any questions about this survey should be sent to ra-pwodpim4qnci@pa.gov. Thank you very much for your time and support.

Please begin the survey now by clicking on the NEXT button below.

Contact Information for Person Completing Survey

First Name

Last Name

Position/Title

Name of Provider Agency

Phone

Email Address

1. Approximately how many years has your agency been an ODP provider?

2. Do you consider your agency to be a small, medium, or large provider?

SMALL: Serves 1–10 individuals in residential settings; Operates 1–3 homes or sites; Often locally owned and may not offer multiple service lines

MEDIUM: Serves 11–50 individuals; Operates 4–15 homes; May provide other services (e.g., day programs, employment)

LARGE: Serves 51+ individuals; Operates 16+ homes; Typically has regional or statewide presence, multiple funding streams, and a broader administrative infrastructure

3. In which region(s) do you provide residential services?
Check all that apply.

Central

Northeast

Southeast

Western

4. What type of residential living arrangements do you provide?
Check all that apply.

Intermediate care facility for people with I/DD (ICF/IDD)

Community residential settings (group homes)

Agency-owned apartments

LifeSharing or Shared Living

Other

5. Are you familiar with Independent Monitoring for Quality (IM4Q)?

Yes

No

6. Do you believe you have a good understanding of the IM4Q process?

Yes

No

7. As a provider agency, do you know what is expected of you to assist in the IM4Q process?

Yes

No

8. Have individuals your agency serves participated in IM4Q interviews?

Yes

No

IM4Q RESIDENTIAL PROVIDERS SURVEY

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