Exhibit_E_-_Participant_Satisfaction_Survey.doc

DOC document 44 KB Posted

Attached to
Master Agreement AZ|CTR056120
Contract number
CTR056120
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) for Pre-Employment Transition Services. The survey is designed to collect feedback from participants about the quality of services provided by a contracted service provider, with the aim of assessing and improving service delivery.

The survey captures participant perspectives on service quality, timeliness, and overall satisfaction through a series of rating scales and open-ended questions. It allows participants to evaluate the contractor's performance, describe the services received, and provide suggestions for improvement. The document is specifically focused on pre-employment transition services, with an emphasis on assessing whether the skills gained will help participants obtain or maintain employment. The survey is structured to provide qualitative and quantitative feedback about the contractor's service provision.

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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 .