Exit this survey New York Employer Practice Survey I. Demographic Information Question Title 1. Your job title Human Resource Director Human Resource Staff Person Owner CEO COO Vice President President Executive Director Assistant Director Store Manager Supervisor Shift Manager Other Other (please specify) Question Title 2. Which of the following best describe your company's industry Agriculture, forestry, fishing and hunting Mining Construction Manufacturing Wholesale trade Retail trade Transportation and warehousing Utilities Information technology Finance and insurance Real estate and rental and leasing Professional, scientific, and technical services Management of companies and enterprises Administrative and support and waste management and remediation services Education services Health care and social assistance Arts, entertainment, and recreation Accommodation and food services Other services, except public administration Public administration sector Question Title 3. Number of employees in your company: <15 15-100 101-200 201-500 501-1000 1001-5000 >5000 Question Title 4. Number of workers that you directly supervise Question Title 5. Are you responsible for hiring and/or firing staff? YES, I MAKE THE FINAL DECISION SORT OF, I AM ASKED MY OPINION AND CAN INFLUENCE THE DECISION BUT I DO NOT MAKE THE FINAL DECISION NO, I AM TYPICALLY NOT INVOLVED IN HIRING OR FIRING DECISIONS Question Title 6. Length of time at your current job title. Less than 6 months Between 6 months and 1 Year Between 1 and 2 Years Between 2 and 5 Years Between 5 and 10 Years Greater than 10 Years Question Title 7. Your age Question Title 8. Gender Male Female Question Title 9. Race/Ethnicity White (non-Hispanic) Black or African American Hispanic or Latino Asian American Indian or Alaska Native Native Hawaiian or Other Pacific Islander Other Other (please specify) Question Title 10. Indicate (Yes or No) if a family member, relative or close friend has any of these problems. YES NO Alcohol or drug history Alcohol or drug history YES Alcohol or drug history NO Visual Impairment Visual Impairment YES Visual Impairment NO Spinal Cord injury Spinal Cord injury YES Spinal Cord injury NO Cancer Cancer YES Cancer NO Mental Health problems Mental Health problems YES Mental Health problems NO Mental Retardation Mental Retardation YES Mental Retardation NO Seizures Seizures YES Seizures NO HIV/AIDS HIV/AIDS YES HIV/AIDS NO Chronic Pain Chronic Pain YES Chronic Pain NO Next