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Disabilities in the Workplace Survey

Tompkins Workforce Development Board's Disabilities Workforce Committee is conducting this survey to determine how we can better support and understand the needs of employers with regard to individuals with disabilities.
1.Do you currently employ anyone with a disclosed disability?(Required.)
2.Which disability accommodations have you provided for employees in the past?(Required.)
3.Which disability accommodations are you currently able to provide for employees?(Required.)
4.How would you rate your retention of employees with disclosed disabilities?(Required.)
5.Please select the topics on which you would like more information and/or advisement:(Required.)
6.Please rate your knowledge of the following:(Required.)
Rate your knowledge
Americans with Disabilities Act (ADA)
Reasonable workplace accommadations
Disability in the workplace
Hiring incentives
Awareness of disability service providers
Recruitment resources and support
7.Please submit any additional comments or questions:(Required.)
8.What is the name of your business?(Required.)
9.Are you interested in being contacted about resources, support, and workshops?(Required.)
10.What is the best phone number for us to contact?(Required.)
11.What is the best email for us to contact?(Required.)
12.Please provide the name of the contact person:(Required.)