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  2. 2014
  3. October
  4. V
  5. Vocational Rehabilitation Program Feedback
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1. Hello: You are invited to participate in the survey “Vocational Rehabilitation Program Feedback”. Approximately 20 people will be asked to complete this survey about their experiences in working in the VR program. It will take approximately 20 minutes to complete the questionnaire. Your participation in this study is completely voluntary. There are no foreseeable risks associated with this project. However, if you feel uncomfortable answering any questions, you can withdraw from the survey at any point. Your survey responses will be strictly confidential and data from this research will be reported only in a cumulative summary. If you have questions at any time about the survey or the procedures, you may contact Ronni Samassa at 404-926-6357 or by email at [email protected]. Please answer each question to the best of your ability. Thank you very much for your time and support! Please start the survey now by clicking on the "I Agree" button below.
 
 
 
 
2. What is your role in the Vocational Rehabilitation Program (VRP)?
 
Vocational Rehabilitation Counselor
 
Rehabilitation Assistant
 
Job Readiness Specialist
 
Employment Specialist
 
Rehabilitation Unit Manager
 
Other. Please Specify
 
 
 
 
3. How many years have you worked in the (VRP)?
 
Less than 1 year
 
2- 5 years
 
5-10 years
 
10 years or more
 
 
4. Please explain.
If applicable, tell us about a time where you were able to help a client based on his or her needs.
 
N/A
 
If so, please explain.
 
 
 
5. Was there a time where you were unable to assist a client?
 
No
 
If yes, please explain.
 
 
 
6. Can you recall feedback (positive or negative) in the past month or so given to you regarding services from a client?
 
No
 
Yes. Please explain.
 
 
 
7. Has a client ever provided you with an idea about improving services?
 
Yes
 
No
 
If applicable, can you recall the feedback?
 
 
 
8. How would you describe your working conditions within the past year? Please use the scale with 1 being completely undesirable and 5 being highly desirable.
 
1
 
2
 
3
 
4
 
5
 
 
 
9. If applicable, did you or your unit meet your required goal for successful employment outcomes?
 
Yes
 
No
 
N/A
 
Don't Know
 
 
 
10. Have you ever come up with a way to do your job more efficiently? If yes, what was the improvement related to? Select all that apply.
 
Case management (Ex. identifying an area where a client can get the most out of a particular service)
 
Clerical (Ex. managing documents or organizing workspace in a more efficient manner)
 
Self-management (ex. Taking a break from work, playing a game to relief stress, consulting a coworker for advice on work related matters)
 
N/A
 
Other. Please explain

 
 
 
11. Can you explain specifically what the improvement was?
 
No
 
Don't remember
 
N/A
 
Yes, please explain
 
 
 
12. Have you ever shared a new idea about your job responsibilities with your supervisor?
 
Yes
 
No
 
N/A
 
 
 
13. If Yes, when sharing your idea what was his or her response?
 
Very receptive to the idea(s)
 
Somewhat receptive to the idea(s)
 
Neither receptive or non-receptive to the idea(s)
 
Unreceptive to the idea(s)
 
Extremely unreceptive to the idea(s)
 
N/A
 
 
 
14. Do you think you have adequate support from management to do your job? Yes or No, please explain.
 
Yes
 
No
 
Please explain.

 
 
 
15. If applicable, please share some of the ways your manager or supervisor supports you in your job (Please select N/A if not applicable).
 
N/A
 
Please explain.
 
 
 
16. Do you think that you are compensated adequately monetarily for your position? Yes or No, please explain.
 
Yes
 
No
 
Please explain.

 
 
 
17. What work incentives does your job provide? Select all that apply.
 
Flexible work schedule
 
Work from home
 
None
 
Other

 
 
 
18. How do these incentives affect your ability to do your job?
 
These incentives help me manage my work and personal life
 
These incentives do not make a difference in managing my work load and or personal life
 
I currently do not have any job incentives
 
N/A
 
 
 
19. If you could improve something about your job, what would it be? Select all that apply.
 
A flexible work schedule
 
A reduction in workload
 
Increased monetary compensation
 
More supervisory support
 
Revised expectations and or metrics for job description (ex. performance appraisal standards, employment outcome goals, coverage areas)
 
Nothing
 
Other

 
 
 
20. Besides the improvements mentioned earlier, is there anything else that would help you perform your job better?
 
No
 
Yes, please explain.
 
 
 
* 21. In order to prevent unauthorized persons from abusing this survey please, enter the 4-Digit Survey #given to you before completing this survey. If you do not have one, please enter the 5-digit zip code of your work address. Please call Ronni Samassa @ 404-926-6357 if you have any concerns. [NOT APPLICABLE IF YOU HAVE A HARD COPY]
 
4-Digit Survey #
 
Zip Code
 
Enter Survey # or Zip Code

 
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