Exhibit_E_-_Participant_Satisfaction_Survey.doc

DOC document 44 KB Posted

Attached to
Master Agreement AZ|CTR056118
Contract number
CTR056118
Issued by
Arizona

About this file

This document is a Participant Satisfaction Survey developed by the Arizona Department of Economic Security, Rehabilitation Services Administration (ADES/RSA). The survey is designed to collect feedback from participants receiving Pre-Employment Transition Services, with the primary purpose of evaluating the quality of services provided by a contractor and gathering insights for potential service improvements.

The survey captures participants' perceptions across multiple dimensions, including service quality, timeliness of service delivery, and overall satisfaction. It provides a structured mechanism for participants to rate their experience using a range of evaluation scales from "Excellent" to "Poor" and includes an open-ended section for suggestions. The document appears to be part of a quality assurance process for vocational rehabilitation services, specifically focused on pre-employment transition services that aim to help participants gain employment skills.

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Text version

Pre-Employment Transition Services

PARTICIPANT SATISFACTION SURVEY

Thank you for taking the time to complete this Survey developed by the Arizona Department of Economic Security, Rehabilitation Services Administration (ADES/RSA). ADES/RSA is committed to providing quality services and values your opinion regarding the program you are attending.

CONTRACTOR’S NAME: _____________________________

PARTICIPANT’S NAME: ___________________________________

Briefly describe the services you received from this Contractor and whether the skills you gained will help you obtain and/or maintain employment.

HOW WOULD YOU RATE THE QUALITY OF SERVICES YOU RECEIVED FROM THIS CONTRACTOR?

FORMCHECKBOX

Excellent

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Good

FORMCHECKBOX

Poor

THE CONTRACTOR’S STAFF DELIVERED SERVICE IN A TIMELY MANNER

FORMCHECKBOX

Strongly Agree

FORMCHECKBOX

Agree

FORMCHECKBOX

Neutral

FORMCHECKBOX

Disagree

FORMCHECKBOX

Strongly Disagree

OVERALL, I AM SATISFIED WITH THE QUALITY OF SERVICES PROVIDED BY THIS CONTRACTOR

FORMCHECKBOX

Strongly Agree

FORMCHECKBOX

Agree

FORMCHECKBOX

Neutral

FORMCHECKBOX

Disagree

FORMCHECKBOX

Strongly Disagree

OVERALL RATING OF THE CONTRACTOR’S SERVICE PROVISION IS:

FORMCHECKBOX

Excellent

FORMCHECKBOX

Good

FORMCHECKBOX

Poor

WRITE ANY SUGGESTIONS TO IMPROVE THIS SERVICE

Vp 2016-12-01 brw

File details come from the government source that posted it. Updated .