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* 1. How would you describe yourself in this context?

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* 2. What is the age group of individual with IDD:

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* 3. What County does the individual with IDD live in?

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* 4. Current education status of the individual with IDD:

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* 5. Current employment status of the individual with IDD:

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* 6. Does the individual with IDD want to work (paid employment)?

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* 7. For which industries do you believe job training for individuals with IDD is most needed? (check all that apply)

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* 8. How accessible are current job training opportunities in your community for you?

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* 9. Rate the following in terms of impact on the individual with IDD to have access to Job Coaching/ Training

  No Impact Some Impact Significant Impact Major Impact
Transportation
Cost of the program
Lack of support (job coach, staff) to attend
Limited options for programs locally
Scheduling or times available
Job training programs are not tailored to IDD

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* 10. Does the individual with IDD receive job coaching?

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* 11. Which supports would be most helpful in securing and maintaining employment for the individual with IDD? (check all that apply)

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* 12. What challenges does the individual with IDD face(or expects to face) in finding or keeping employment? (Check all that apply)

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* 13. What does a good job mean to you or your family member with IDD? (open-ended response)

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* 14. If you could design the ideal employment program, what would it include? (open-ended response but please provide at least two specific features)

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* 15. On a scale of 1 to 5, how important is improving job training and coaching services in our community(WNY)?
0= Not Important, 5= Very Important

i We adjusted the number you entered based on the slider’s scale.

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* 16. Has the individual with IDD received job coaching from any of the following? (select all that apply)

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* 17. Would you be interested in participating in any of the following regarding our efforts to improve job training and employment opportunities and access for individuals with IDD? (select all that apply)

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