Name of Business:
Mailing Address of Business:
Name of School:
Name of Person Surveyed:
Email Address of Person Surveyed:
Date Survey Was Completed:
How Was Survey Completed? (Online, Face to Face, Phone)
1) How would you rate your experience with the Student Transition Employment Program (STEP)?
Excellent
Good
Fair
Poor
Why? (please specify)
2) How would you rate your experience working with Stand Up?
Excellent
Good
Fair
Poor
Why? (please specify)
3) How effectively did Stand Up, Inc. staff explain the STEP Program?
(i.e. Number of students that will participate, purpose & objectives of the program, times & dates program will run etc.)
Very Effectively
Effectively
Ineffectively
Very Ineffectively
Comments: (optional)
4) How would you rate the job done by the Stand Up Job Coach(es)?
Excellent
Good
Fair
Poor
How could we improve? (please specify)
5) Were you satisfied that adequate training and support was given to the students while they worked at your company?
Very Satisfied
Satisfied
Dissatisfied
Very Dissatisfied
Comments: (Optional)
6) Were you satisfied with the performance of the students in performing the task you assigned them to do?
Very Satisfied
Satisfied
Dissatisfied
Very Dissatisfied
Comments: (optional)
7) Do you know how to get in touch with Stand Up, Inc. should the need arise?
Yes
No
Comments: (optional)
8) Would you consider participating in the STEP program again next year?
Yes
No
Why? (optional)
9) Would you give Stand Up, Inc. an opportunity to help you fill a future job opening?
Yes
No
If No... Why?
10) Would you allow Stand Up to conduct Assessments at your business to assess job seekers skills and abilities?
Yes
No
Maybe
Comments: (optional)
11) Would you recommend Stand Up, Inc. and the STEP program to other business owners?
Yes
No
If No... Why?
12) Would you like more information from Stand Up, Inc. regarding: (check all that apply)
Work Opportunity Tax Credits
Reasonable Accommodations
Contact Information for SUI Leadership
Disability Awareness Education
Cultural Awareness or Diversity
No Information Needed
Enter any additional comments you may have about Stand Up, Inc Services: (Optional)
If you selected "Cultural Awareness or Diversity" in question 12 above please specify below the areas of your interest... age, gender, culture, sexual orientation, spiritual beliefs, social economic status, language
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