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* 1. Please answer the following questions honestly about your personal perceptions of someone who is blind or visually impaired:

  Strongly agree Agree Neither agree nor disagree Disagree Strongly disagree
Someone who is blind can't see anything.
Someone who is blind/visually impaired is not employable.
It is more time-intensive to train an employee who is blind/visually impaired.
Someone who is blind/visually impaired cannot do the same work as someone who is sighted.
It will cost my business a fortune to purchase adaptive equipment for someone who is blind/visually impaired.
A business needs to purchase additional liability insurance to hire someone who is blind/visually impaired.
Someone who is blind/visually impaired does not have good interpersonal, or "people", skills.

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* 2. Have you ever hired someone who identified him/her self as visually impaired or blind?

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* 3. Have you ever interviewed someone who identified him/her self as visually impaired or blind?

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* 4. Would you be more likely to hire someone who is visually impaired or blind if he/she had computer training?

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* 5. Please list: what skills are most important to you in a job applicant?

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* 6. The Division of Blind Services will help purchase adaptive equipment for a newly hired visually impaired employee. Would this encourage you to hire someone who is visually impaired or blind?

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* 7. The Division of Blind Services has a work experience program in which a visually impaired individual would intern at a company for up to six weeks and DBS would pay the individual a stipend. Would this type of on-the-job training encourage you to hire someone who is visually impaired or blind?

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* 8. Would you be interested in providing a work experience/on-the-job training internship to a visually impaired job seeker at no cost obligation to your company?

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* 9. What would be helpful for you as a business owner or hiring manager to know in order to hire someone who is visually impaired/blind? Please select all that apply.

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* 10. Would you be interested in speaking with someone from New Vision about how we can work with your company to provide excellent customer service to visually impaired clients?

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