Exhibit_E_-_Participant_Satisfaction_Survey.doc

DOC document 44 KB Posted

Attached to
Master Agreement AZ|CTR056077
Contract number
CTR056077
Issued by
Arizona

About this file

This document is a Participant Satisfaction Survey developed by the Arizona Department of Economic Security's Rehabilitation Services Administration (ADES/RSA). The survey is designed to collect feedback from participants receiving Pre-Employment Transition Services, with the primary goal of evaluating service quality and contractor performance through a standardized assessment tool.

The survey captures participant perspectives on service delivery, including ratings for service quality, timeliness, staff performance, and overall satisfaction. It provides qualitative and quantitative feedback mechanisms, allowing participants to rate services on scales ranging from "Excellent" to "Poor" and "Strongly Agree" to "Strongly Disagree". Participants are also invited to describe the services received, assess the skills gained, and provide suggestions for service improvement. The document appears to be part of a quality control and performance monitoring process for pre-employment transition service contractors.

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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?

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Excellent

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Good

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Poor

THE CONTRACTOR’S STAFF DELIVERED SERVICE IN A TIMELY MANNER

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Strongly Agree

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Agree

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Neutral

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Disagree

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Strongly Disagree

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

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Strongly Agree

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Agree

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Neutral

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Disagree

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Strongly Disagree

OVERALL RATING OF THE CONTRACTOR’S SERVICE PROVISION IS:

FORMCHECKBOX

Excellent

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Good

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Poor

WRITE ANY SUGGESTIONS TO IMPROVE THIS SERVICE

Vp 2016-12-01 brw

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