Developmental Disability Day Program Activity & Family Feedback Form
About this free form template

Streamline Your Developmental Disability Day Program Feedback & Compliance

Managing a developmental disability day program requires balancing person-centered care, family engagement, community inclusion, and rigorous state licensing compliance. This Developmental Disability Day Program Activity & Family Feedback Form template brings all these critical elements together in one professional, accessible form.

Built for Day Program Directors, Support Coordinators & Care Teams

Whether you're running an adult day habilitation program, community-based services, or specialized activity programs for individuals with developmental disabilities, this template helps you:

  • Document person-centered planning outcomes with participant choice, preference tracking, and goal progress
  • Assess community inclusion effectiveness across activities, outings, and social integration
  • Gather meaningful family satisfaction feedback to improve services and strengthen partnerships
  • Maintain state licensing compliance with required documentation, safety protocols, and quality assurance records
  • Track activity participation and engagement with detailed notes for individual support plans

Why Paperform for Developmental Disability Services

Paperform's flexible, accessible design makes it ideal for healthcare and social services organizations that need forms to work for diverse audiences—staff members, family caregivers, and support coordinators alike.

The doc-style editor lets you create forms that feel approachable and easy to navigate, with clear language, optional helper text, and the ability to add images or videos that explain activities visually. Unlike rigid healthcare software, you can customize every question to match your program's specific philosophy and state requirements.

Conditional logic ensures families and staff only see relevant questions based on their role, the participant's support level, or specific licensing requirements—keeping forms focused and reducing completion time.

From Feedback to Action with Automated Workflows

Collecting feedback is just the beginning. With Stepper (stepper.io), Paperform's AI-native workflow builder, you can automatically:

  • Route critical safety concerns or complaints to program directors immediately
  • Create tasks in your case management system when family feedback requires follow-up
  • Update participant records in your HCBS software or CRM based on activity engagement data
  • Send thank-you emails to families and schedule quarterly satisfaction check-ins
  • Compile licensing documentation packages automatically for state audits

This means less manual data entry for your admin team and faster response times when families need support.

Secure, Compliant Data Collection You Can Trust

Developmental disability programs handle sensitive personal and health information. Paperform is SOC 2 Type II certified and offers robust security features including data encryption, custom data retention policies, and secure file uploads for supporting documentation.

While Paperform is not HIPAA compliant, it provides enterprise-grade security suitable for quality assurance, satisfaction surveys, and operational feedback in social services settings. For organizations requiring digital signatures on consent forms or service agreements, Papersign (papersign.com) integrates seamlessly to collect legally binding eSignatures with full audit trails.

Designed for Real-World Care Settings

This template recognizes that developmental disability services involve multiple stakeholders—participants, families, direct support professionals, program coordinators, and licensing bodies. It balances:

  • Participant voice and choice through accessible preference questions
  • Family partnership with satisfaction scales and open feedback opportunities
  • Staff documentation needs including incident reporting, engagement notes, and material requests
  • Compliance requirements covering safety checks, staffing ratios, and quality indicators

The warm, professional tone reflects the person-centered values of quality developmental disability services while maintaining the structure needed for licensing and accreditation.

Integrate with Your Existing Tools

Paperform connects with the tools day programs already use. Send responses to:

  • Google Sheets or Airtable for ongoing activity tracking and trend analysis
  • Slack or Microsoft Teams to alert supervisors of urgent concerns
  • Salesforce or HubSpot for constituent relationship management
  • Notion or Monday.com for program planning and quality improvement projects

With Paperform's native integrations, Stepper workflows, and webhook support, your feedback data flows directly into your operational systems without manual transfers.

Who This Template Is For

This form template is specifically designed for:

  • Day habilitation programs serving adults with intellectual and developmental disabilities
  • Community inclusion programs facilitating social integration and skill-building activities
  • Adult day care centers specializing in developmental disability support
  • Non-profit organizations providing community-based day services
  • State-funded programs requiring regular quality assurance and family satisfaction documentation
  • Support coordinators and case managers tracking person-centered outcomes

Start Improving Your Program Today

Whether you're preparing for a licensing review, implementing person-centered planning practices, or simply want to hear from families more regularly, this template gives you a professional starting point. Customize the questions to match your state's specific regulations, add your program's branding, and start collecting actionable feedback today.

With Paperform's free plan, you can test the template and see how it works for your team. As your needs grow, upgrade to access advanced features like conditional workflows, team collaboration, and unlimited submissions—all with transparent, SMB-friendly pricing.

Trusted by over 500,000 teams worldwide and built with accessibility in mind, Paperform helps developmental disability programs deliver better services through better data.

Bitmap.png
HIR.png
HKTB-logo.png
Kenyon.png
Rice_University_Horizontal_Blue.png
accor-3.png
adp-1.png
avallain-logo-svg-160-px.png
axa-768.png
danone-2.png
deloitte-1.png
logo_andorra_telecom_df137f1a8f.png
michelin-4.png
raywhite.png
suncorp-logo-358x104.png
unesco.png
Bitmap.png
HIR.png
HKTB-logo.png
Kenyon.png
Rice_University_Horizontal_Blue.png
accor-3.png
adp-1.png
avallain-logo-svg-160-px.png
axa-768.png
danone-2.png
deloitte-1.png
logo_andorra_telecom_df137f1a8f.png
michelin-4.png
raywhite.png
suncorp-logo-358x104.png
unesco.png
Bitmap.png
HIR.png
HKTB-logo.png
Kenyon.png
Rice_University_Horizontal_Blue.png
accor-3.png
adp-1.png
avallain-logo-svg-160-px.png
axa-768.png
danone-2.png
deloitte-1.png
logo_andorra_telecom_df137f1a8f.png
michelin-4.png
raywhite.png
suncorp-logo-358x104.png
unesco.png
Built for growing businesses, trusted by bigger ones.
Trusted by 500K+ business owners and creators, and hundreds of millions of respondents. Small and growing teams across marketing, eCommerce, education, and professional services run their forms on Paperform.

Our customers love us, with an average rating of 4.8 out of 5 from 380 reviews across Capterra, Trustpilot, and G2.