http://www.netxworkforce.org/ Follow Up Question Title * 1. Name: First Full Middle or NA Last Question Title * 2. Employed: Full Time Part Time Hour Per Week? Question Title * 3. Attending School: Full Time Part Time Hour Per Week? Question Title * 4. Course of Study: Question Title * 5. Completion Date: Question Title * 6. Unemployed and looking for work: Yes No Question Title * 7. Unemployed and not looking for work because: Health Problems Family Care Problems Transportation Problems Other (please specify) Question Title * 8. Current Employer: Company Name Start Date Supervisor Address City State Zip Benefits (Yes/No) Rate of Pay - HR, WK, MO, YR, (Please specify) Question Title * 9. Change of Address/Phone No: Street Address City State Zip Phone 100% of survey complete. Done
