Nez Perce Vocational Rehabilitation Services (NPTVRS)

Introduction

May 24, 2019

Dear Participant, Past and current,

The Nez Perce Tribe Vocational Rehabilitation Services (NPTVRS) is applying to renew their five (5) year grant. Below is a survey we would like you to fill out and complete no later than June 13, 2019. If you prefer to complete a hard copy survey, we will send you a pre-stamped envelope for your convenience.

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* 1. What do you know about the Nez Perce Vocational Rehabilitation Services Program?

I know nothing about the program and what services they provide

I know very little

I have some knowledge

I know what the program provides and does

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* 2. Where do you live?

Kooskia, ID

Kamiah, ID

Orofino, ID

Lapwai, ID

Moscow, ID

Lewiston, ID

Pullman, WA

Clarkston, WA

Asotin, WA

Other

Other (please specify)

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* 3. What is your gender?

Male

Female

Prefer not to say

Other (please specify)

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* 4. Are you an enrolled member of a federally recognized tribe?

Yes

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* 5. What is your age?

16-24

25-32

33-41

42-50

51-59

60-68

69 and over

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* 6. Are you a Veteran?

Yes

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* 7. Do you have a Disability and can you work?

Yes

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* 8. Do you need assistance finding employment?

Yes

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* 9. What do you think are the main purposes of the Nez Perce Vocational Rehabilitation Services program: (Check those you know)

Provide Social Services

Pay past debts

Seek and retain employment

Provides counseling and guidance

Once employed provides post-employment needs

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* 10. What should the Nez Perce Tribe Vocational Rehabilitation priorities be for the next five (5) year grant cycle?

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* 11. Please provide your suggestions how the NPTVRS program can be more efficient and effective in providing services to those with disabilities.

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* 12. Would you like to be entered into a drawing? The first fifty (50) surveys returned by June 13, 2019, will be entered into a drawing for: two (2) general admission tickets to Cheech and Chong concert June 29, 2019, at CRC

Other prizes:
Apple Bees gift card for two (2),
(4) $25.00 gas card,
(3) Appaloosa bus pass

Providing your name and phone number is optional.

Your personal information will not be included in the Survey Summary Report or released to anyone. It is only collected for purposes of the prize drawing.

Name

Phone Number