Beyond Housing seeks your assistance in learning more about the employment goals of adults living in the 24:1 area. This survey is anonymous and should take 5-10 minutes to complete. Feel free to contact Beyond Housing at tkittrell@beyondhousing.org if you have any questions.

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* 1. What is your zip code?

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* 2. Do you:

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* 3. How old are you?

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* 4. What race best describes you?

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* 5. Do you identify as:

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* 6. What is the highest level of education you completed?

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* 7. How many people live in your household?

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* 8. Are you the head of the household?

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* 9. Do you provide care for any children or other family members in your household?

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* 10. Do you or any of the individuals that you provide care for have any physical or mental health issues that impact your ability to work?

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* 11. Are you currently receiving any of the following:

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* 12. Are you currently:

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* 13. Aside from yourself, are any other members of your household currently employed?

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* 14. Are you currently:

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* 15. In what industry would you like to work in?

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* 16. Please check the box that best describes your current yearly income

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* 17. How far is your job from home (or if you are unemployed, how far was your last job)?

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* 18. What form of transportation do you have reliable access to?

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* 19. What caused you to leave your last job? Check all that apply.

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* 20. Which of these are the top 3 factors that you are looking for in your next job:

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* 21. On a scale of 1 to 5, with 1 being not at all likely and 5 being very likely, how likely would you be to use an any of these services:

  Not at all likely Very likely
Help with resume and interview skills
Job search assistance
Help learning about what about your strengths and interests
Workshops that focus on soft skills, such as communication, professionalism & teamwork
Placement in an apprenticeship or on-the-job training position
Placement in a temporary or trial work position
Individualized support from a job coach
Information and/or resources for starting a business
Educational or training opportunities

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* 22. Please list any specific education or training programs that interest you:

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* 23. Would assistance with any of these things make you more likely to engage with employment assistance services? Check all that apply.

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* 24. Please list any employment services you have used in the past and describe what you felt was helpful or unhelpful about them.

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* 25. Is there anything you would like to share about your employment goals or strategies that might help you meet them?

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* 26. Thanks for your input. 

If you would like to participate in an interview to explore these issues more fully, please provide your name, phone number and email in the box below, or email Tabatha at tkittrell@beyondhousing.org.

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