2011 MDRS Needs Assessment Survey

1. Please identify yourself as one or more of the following:

Please identify yourself as one or more of the following: Family member of a person with a disability

Service provider

Educator

Individual with a disability due to:

2. Are you White, Black or African-American, American Indian or Alaskan Native, Asian, Native Hawaiian or other Pacific islander, or some other race?

Are you White, Black or African-American, American Indian or Alaskan Native, Asian, Native Hawaiian or other Pacific islander, or some other race? American Indian or Alaskan Native

Asian

Black or African American

Native Hawaiian or Pacific Islander

White

From Multiple Races

Other (please specify)

3. What county do you live in?

What county do you live in?

What is your zip code?

4. Do you need ongoing help in order to work as a person with a disability? (Job coach, transportation, assistive technology, specialized job training, etc.)

Do you need ongoing help in order to work as a person with a disability? (Job coach, transportation, assistive technology, specialized job training, etc.) Yes

No

5. Which of these services do you need in order to work? (Please choose all that apply.)

Which of these services do you need in order to work? (Please choose all that apply.) None

Assistive Technology

Job Coach

Specialized Job Training

Support from Supervisors and Co-Workers

Transportation

Other (please specify)

6. Have you ever used a WIN (Workforce Investment Network) Job Center for help finding a job or job training services?

Have you ever used a WIN (Workforce Investment Network) Job Center for help finding a job or job training services? Yes	No
Were you satisfied with your last experience at the WIN Job Center? Please respond as satisfied, neither satisfied nor dissatisfied with it, or dissatisfied with it.

7. If you answered yes to question 6, what type services did you receive? (You may check more than one)

If you answered yes to question 6, what type services did you receive? (You may check more than one) Attended Free Workshop

Interview Tips

Job Search Assistance

Job Training Information

Resume Assistance

Veteran Services

Vocational Rehabilitation Services

Were you satisfied with the service you received? Please respond as satisfied, neither satisfied nor dissatisfied with it, or dissatisfied with it.

8. In your opinion, the top 5 needs that keep people from working are (rank in order of importance to you with number 1 being the best):


1	In your opinion, the top 5 needs that keep people from working are (rank in order of importance to you with number 1 being the best): 1
2	2
3	3
4	4
5	5

Other (please specify)

9. Are you aware of the services offered at AbilityWorks, Addie McBryde Center, REACH Center for the Blind, and/or Goodwill Industries?

Are you aware of the services offered at AbilityWorks, Addie McBryde Center, REACH Center for the Blind, and/or Goodwill Industries? Yes

No

10. Do you believe more community resources are needed to help people with disabilities in Mississippi?

Do you believe more community resources are needed to help people with disabilities in Mississippi? Yes	No
What type of training or services should be offered?

This concludes the survey--THANK-YOU FOR YOUR ASSISTANCE.

2011 MDRS Needs Assessment Survey
Exit this survey

1. Default Section

1. Please identify yourself as one or more of the following:

2. Are you White, Black or African-American, American Indian or Alaskan Native, Asian, Native Hawaiian or other Pacific islander, or some other race?

3. What county do you live in?

4. Do you need ongoing help in order to work as a person with a disability? (Job coach, transportation, assistive technology, specialized job training, etc.)

5. Which of these services do you need in order to work? (Please choose all that apply.)

6. Have you ever used a WIN (Workforce Investment Network) Job Center for help finding a job or job training services?

7. If you answered yes to question 6, what type services did you receive? (You may check more than one)

8. In your opinion, the top 5 needs that keep people from working are (rank in order of importance to you with number 1 being the best):

9. Are you aware of the services offered at AbilityWorks, Addie McBryde Center, REACH Center for the Blind, and/or Goodwill Industries?

10. Do you believe more community resources are needed to help people with disabilities in Mississippi?

2011 MDRS Needs Assessment SurveyExit this survey

1. Default Section

1. Please identify yourself as one or more of the following:

2. Are you White, Black or African-American, American Indian or Alaskan Native, Asian, Native Hawaiian or other Pacific islander, or some other race?

3. What county do you live in?

4. Do you need ongoing help in order to work as a person with a disability? (Job coach, transportation, assistive technology, specialized job training, etc.)

5. Which of these services do you need in order to work? (Please choose all that apply.)

6. Have you ever used a WIN (Workforce Investment Network) Job Center for help finding a job or job training services?

7. If you answered yes to question 6, what type services did you receive? (You may check more than one)

8. In your opinion, the top 5 needs that keep people from working are (rank in order of importance to you with number 1 being the best):

9. Are you aware of the services offered at AbilityWorks, Addie McBryde Center, REACH Center for the Blind, and/or Goodwill Industries?

10. Do you believe more community resources are needed to help people with disabilities in Mississippi?

2011 MDRS Needs Assessment Survey
Exit this survey