This guide examines the evolution of human services systems toward the recognition that individuals with handicaps can make consumer choices and should be included in decision-making sessions. Consumers with disabilities are seeking empowerment through their presence and participation in political processes and community events. Choices regarding housing, employment, and other aspects of life cannot be made by a professional on behalf of disabled persons. Quality of life issues should be incorporated into research of the life settings of individuals with disabilities. Findings from existing research indicate that more joint planning with consumers is needed, and ways that the service sector can get consumers involved are considered. The Consumer Job Satisfaction Scale, being developed by the National Association of Rehabilitation Facilities, is presented as a tool to assess factors contributing to quality of working life. Techniques for measuring satisfaction in nonverbal individuals are also addressed. Implications for consumers, state and federal agencies, and rehabilitation service providers are examined. (47 references) (JDD)