SE Participant Satisfaction Survey

We're committed to monitoring and evaluating the quality of the services we provide, as part of an ongoing improvement process. We would appreciate your feedback on our performance. (All submissions are anonymous.)

* 1. How would you rate your feelings about Employment & Community Options in terms of (Rating of 5 being highest, 1 being lowest):

  5 - Very Happy 4 - Happy 3 - Okay 2 - Unhappy 1 - Very Unhappy
The overall services you receive from Employment & Community Options?

* 2. How would you rate your feelings about Employment & Community Options in terms of (Rating of 5 being highest, 1 being lowest):

  5 - Very Happy 4 - Happy 3 - Okay 2 - Unhappy 1 - Very Unhappy
The job you obtained through Employment & Community Options?

* 3. How would you rate your feelings about Employment & Community Options in terms of (Rating of 5 being highest, 1 being lowest):

  5 - Very Happy 4 - Happy 3 - Okay 2 - Unhappy 1 - Very Unhappy
The direct support or instruction on the job that you get from your job coach?

* 4. How would you rate your feelings about Employment & Community Options in terms of (Rating of 5 being highest, 1 being lowest):

  5 - Very Happy 4 - Happy 3 - Okay 2 - Unhappy 1 - Very Unhappy
About the relationships you have with your coworkers at your job?

* 5. How would you rate your feelings about Employment & Community Options in terms of (Rating of 5 being highest, 1 being lowest):

  5 - Very Happy 4 - Happy 3 - Okay 2 - Unhappy 1 - Very Unhappy
About your participation in planning your vocational goals?

* 6. How would you rate your feelings about Employment & Community Options in terms of (Rating of 5 being highest, 1 being lowest):

  5 - Very Happy 4 - Happy 3 - Okay 2 - Unhappy 1 - Very Unhappy
About the way your Job Coach treats you?

* 7. How would you rate your feelings about Employment & Community Options in terms of (Rating of 5 being highest, 1 being lowest):

  5 - Very Happy 4 - Happy 3 - Okay 2 - Unhappy 1 - Very Unhappy
About the job-related supports you get from your Job Coach (reporting wages to Social Security, safety and emergency skills, getting referral information for health problems or other issues?

* 8. Do you have any transportation problems that prevent you from getting to work on time?

* 9. Do you have any new medical or health problems that may impact your current or future job performance?

* 10. In what type of program and/or geographic location of Employment & Community Options are you receiving services?

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