Exhibit_E_-_Participant_Satisfaction_Survey.doc

DOC document 44 KB Posted

Attached to
Master Agreement AZ|CTR056087
Contract number
CTR056087
Issued by
Arizona

About this file

The document is a Participant Satisfaction Survey developed by the Arizona Department of Economic Security, Rehabilitation Services Administration (ADES/RSA) for Pre-Employment Transition Services. The survey is designed to collect feedback from program participants about the quality of services provided by contractors, with the goal of assessing service delivery and participant experiences.

The survey seeks to evaluate contractor performance across multiple dimensions, including service quality, timeliness, and overall satisfaction. It includes rating scales for participants to assess the contractor's service delivery, with options ranging from "Excellent" to "Poor" and opportunities to provide written suggestions for improvement. The survey is specifically focused on pre-employment transition services and aims to gather insights into how well the contracted services help participants gain skills that can assist in obtaining or maintaining employment.

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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

FORMCHECKBOX

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 .