1. Employment First 

Please keep in mind the information that you provide during this survey is CONFIDENTIAL. Please be aware that your opinion and responses are very Important to help improve the program. Thank you.

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* 1. How long have you been in the Job Training program at Goodwill?

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* 2. What is your Job Coach's name?

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* 3. Please respond to the statements below. My Job Coach...

  Strongly Agree Agree Neutral Disagree Strongly Disagree
Treated me with respect and dignity.
Listened to what I have to say.
Is aware of my needs and tells me how to get other services.
Explained things to me that I did not understand.
Explained my rights and responsibilities as a program participant.
Involved me in planning my treatment or service goals.
Is knowledgeable in job training and job search skills.

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* 4. What service(s)/program(s) did you receive from Goodwill? (Check all that apply.)

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* 5. What services, if any, would you have liked to get at Goodwill, but did not?

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* 6. Is there more you would like to share with us about your experience at Goodwill? Please write comment below.

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* 7. Overall, I like the program.

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* 8. Overall, I like the help I received from the Job Coaches.

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* 9. How likely are you to recommend this program to others?

  1 2 3 4 5 6 7 8 9 10
Please rate on a scale of 1 to 10, with 10 being the most likely to refer others.

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