Survey on age and disability This survey is a research exercise which will form part of an ESIF bid. The aim is to find out what services are available in Sheffield City region for people with disabilities and those over fifty years of age, who are looking to find work. We hope to find out what is working well and identify any gaps in provision. Question Title * 1. How old are you? 18-24 years old 25-34 years old 35-44 years old 45-54 years old 55-64 years old 65-74 years old 75 years or older Question Title * 2. State your gender? Female Male Question Title * 3. Please describe your race/ethnicity. White British Pakistani Bangladeshi Chinese African Caribbean Arab Mixed Race Other (please specify) Question Title * 4. Are you currently employed? Yes No Question Title * 5. If answered No to the above. Please state how long you have been unemployed? Question Title * 6. If you answered yes to the previous question. What type of employment is it? Full time employment Part time employment Self-employed Question Title * 7. Please state your highest qualification achieved? Entry - (Entry level certificate/entry level Skills for Life/entry level Functional Skills Level 1 - (GCSE grades D-G/NVQ Level 1/Key Skills Level 2 - (GCSE grades A*-C/Key Skills level 2/BTEC award, certificate and diploma level 2/Functional Skills L2) Level 3 - (AS/A Level/ Cambridge International Award/International Baccalaureate/Key Skills level 3/NVQ level 3/BTEC award, certificate and diploma level 3) No formal Qualifications Other (please specify) Question Title * 8. Do you consider yourself to have a disability? Yes No Question Title * 9. 3. If you are disabled, are you happy to share further information about this with us? Yes No If YES please state below Question Title * 10. Do you feel like there are barriers that stop you from seeking work? Lack of relevant work experience Lack of functional skills in English, Maths and IT Low confidence Lack of credible CV Discrimination amongst employers etc If other please specify Question Title * 11. What type of practical support/people would enable you to get into work? Basic skills training Work tasters/experience Access to Job coach Other (please specify) Question Title * 12. What sorts of added features would enable them to take up this support? Childcare support Travel bursary/pass Peer mentioning and support Any other additional support specify below Question Title * 13. What sort of provider would be best to deliver this support? College Neighbourhood- based provider (Youth Club/local community venue) Prime contractor such as A4E,Serco and or Ingeus? Other (please specify) Question Title * 14. Have you had any support to improve your job prospects. If so how would you rate this support? Yes No If Yes please rate below: Next
