Customer Satisfaction Survey - Job Network

To improve services, we would like your comments about your experience with the Work Activity.

1. Which Work Activity site do you currently attend?

Which Work Activity site do you currently attend? Essex

Catonsville

Towson

2. How many days have you been in the program thus far?

How many days have you been in the program thus far? Greater than 2 weeks

Greater than a month

3. Have you been enrolled before?

Have you been enrolled before? Yes

If Yes, what year?

4. Location -
Please check off the scale you agree with in regards to the below questions.

	Strongly Agree	Agree	Neutral	Disagree	Strongly Disagree
The building and classrooms are clean.	*Location - Please check off the scale you agree with in regards to the below questions. The building and classrooms are clean. Strongly Agree	The building and classrooms are clean. Agree	The building and classrooms are clean. Neutral	The building and classrooms are clean. Disagree	The building and classrooms are clean. Strongly Disagree
The office is easy for me to reach.	The office is easy for me to reach. Strongly Agree	The office is easy for me to reach. Agree	The office is easy for me to reach. Neutral	The office is easy for me to reach. Disagree	The office is easy for me to reach. Strongly Disagree
I have enough work space to complete assignments.	I have enough work space to complete assignments. Strongly Agree	I have enough work space to complete assignments. Agree	I have enough work space to complete assignments. Neutral	I have enough work space to complete assignments. Disagree	I have enough work space to complete assignments. Strongly Disagree

Comments/Concerns

5. Communication -
Please check off the scale you agree with in regards to the below questions.

	Strongly Agree	Agree	Neutral	Disagree	Strongly Disagree
I know who is my Case Manager.	*Communication - Please check off the scale you agree with in regards to the below questions. I know who is my Case Manager. Strongly Agree	I know who is my Case Manager. Agree	I know who is my Case Manager. Neutral	I know who is my Case Manager. Disagree	I know who is my Case Manager. Strongly Disagree
I know who is my Job Developer.	I know who is my Job Developer. Strongly Agree	I know who is my Job Developer. Agree	I know who is my Job Developer. Neutral	I know who is my Job Developer. Disagree	I know who is my Job Developer. Strongly Disagree
Staff are responsive to my questions.	Staff are responsive to my questions. Strongly Agree	Staff are responsive to my questions. Agree	Staff are responsive to my questions. Neutral	Staff are responsive to my questions. Disagree	Staff are responsive to my questions. Strongly Disagree
I know who to contact if I have an issue with staff or the services.	I know who to contact if I have an issue with staff or the services. Strongly Agree	I know who to contact if I have an issue with staff or the services. Agree	I know who to contact if I have an issue with staff or the services. Neutral	I know who to contact if I have an issue with staff or the services. Disagree	I know who to contact if I have an issue with staff or the services. Strongly Disagree
The staff are professional and polite.	The staff are professional and polite. Strongly Agree	The staff are professional and polite. Agree	The staff are professional and polite. Neutral	The staff are professional and polite. Disagree	The staff are professional and polite. Strongly Disagree
I am treated with dignity and respect.	I am treated with dignity and respect. Strongly Agree	I am treated with dignity and respect. Agree	I am treated with dignity and respect. Neutral	I am treated with dignity and respect. Disagree	I am treated with dignity and respect. Strongly Disagree

Comments/Concerns

6. Quality of Services -
Please check off the scale you agree with in regards to the below questions.

	Strongly Agree	Agree	Neutral	Disagree	Strongly Disagree
The Work Activity helps to address my family's needs.	*Quality of Services - Please check off the scale you agree with in regards to the below questions. The Work Activity helps to address my family's needs. Strongly Agree	The Work Activity helps to address my family's needs. Agree	The Work Activity helps to address my family's needs. Neutral	The Work Activity helps to address my family's needs. Disagree	The Work Activity helps to address my family's needs. Strongly Disagree
I am informed of different resources available in the community.	I am informed of different resources available in the community. Strongly Agree	I am informed of different resources available in the community. Agree	I am informed of different resources available in the community. Neutral	I am informed of different resources available in the community. Disagree	I am informed of different resources available in the community. Strongly Disagree
I believe the services provided will lead me to employment.	I believe the services provided will lead me to employment. Strongly Agree	I believe the services provided will lead me to employment. Agree	I believe the services provided will lead me to employment. Neutral	I believe the services provided will lead me to employment. Disagree	I believe the services provided will lead me to employment. Strongly Disagree
Overall, my experience is satisfactory.	Overall, my experience is satisfactory. Strongly Agree	Overall, my experience is satisfactory. Agree	Overall, my experience is satisfactory. Neutral	Overall, my experience is satisfactory. Disagree	Overall, my experience is satisfactory. Strongly Disagree

Comments/Concerns

7. Do you have a complaint or concern about the Work Activity that you would like to discuss?

Do you have a complaint or concern about the Work Activity that you would like to discuss? Yes

8. If Yes, complete the following:

If Yes, complete the following: Name
Phone
Best time to call
Comments/Concerns

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