Survey Questions.docx

Indicator 14 Survey Questions

Statement of purpose: Good morning/afternoon. My name is (representative’s name) calling for (student’s name) on behalf of _____________ school district. I would like five minutes of your time to gather information on your education and work experience over the past year.

I will be gathering information about what you have been doing since leaving high school. At the end of the survey, I can provide you with some resources that may assist you in finding further employment and educational opportunities.

May we begin?

[If the answer is “no”, ask for a better time or method of contact or email address for on-line option]

1. Who’s completing the survey?

a. Student

b. Parent/Guardian

c. District

d. Vendor

2. Exclusions for District/Vendor

a. No Answer

b. 3 Attempts (add survey ID number and conclude the survey)

c. Deceased (add survey ID number and conclude the survey)

d. Does not want to participant (Does not count towards completed survey) (add survey ID number and conclude the survey)

3. SurveyID (Text Field)

4. Who is responding to the interview questions?

a. Student

b. Parent/Guardian

A. Education “First, I’d like to first ask you some questions about things you have done to continue your education within the year of leaving high school. This can be any type of classes or courses you took at a college or university, or on-line, or for your job, or in a program like the Peace Corps or your GED.”

Continuing education means participating in any type of education or training that helps you achieve your employment goals. This can include a taking a course at a college or university on-line or at a community or technical college, completing your GED or basic education classes, or training at your job.

1. Have you participated in any type of college, courses or job training within one year of leaving high school?

Yes - continue with questions 2-8 No - move to question 9

2. Have you enrolled in a 2-year technical college or community college?

a. Yes, and I completed at least one term

b. Yes, but I did not complete at least one term

c. No, I have not attended this type of program

3. Have you enrolled in a 4-year college or university?

a. Yes, and I completed at least one term

b. Yes, but I did not complete at least one term

c. No, I have not attended this type of program

4. Have you enrolled in an adult education program to earn a high school diploma or General Education Development (GED) Test?

a. Yes, and I completed at least one term

b. Yes, but I did not complete at least one term

c. No, I have not attended this type of program

5. Have you attended a vocational school or program that is less than two years, such as truck- driving, barber or cosmetology, or welding?

a. Yes, and I completed at least one term

b. Yes, but I did not complete at least one term

c. No, I have not attended this type of program

6. Have you participated in any type of short-term job training program such as Job Corps, or on-the-job training, such as an apprenticeship or other training through your workplace?

a. Yes, and I completed at least one term

b. Yes, but I did not complete at least one term

c. No, I have not attended this type of program

7. Have you participated in a formal Humanitarian Program such as the Peace Corps, Vista, AmeriCorps, or a Church Mission?

a. Yes

b. No

8. Have you participated in any other type of postsecondary school or program that increased your employability (i.e., online courses) and is not associated with another type of program listed above?

a. Yes. Please describe:

b. No

9. Please choose all reasons that have contributed to you not attending postsecondary education or training.

1. Did not plan to continue my education/working instead

2. Can’t afford to go to school/Not enough financial aid

3. Working to save money to attend at a later time

4. No postsecondary opportunities close to home

5. Don’t feel I have the necessary skills or qualifications to enter postsecondary school/training

6. Unable to find transportation to school/no driver’s license/no car or insurance

7. Have not received necessary services from community agencies/on waiting list for services

8. Family obligations/home maker

9. Health or disability-related problems prevent me from going to postsecondary school

10. Other. What?

B. Employment Next, I’d like to ask you some questions about your work experience.

1. Have you worked or been employed (with pay) for any amount of time within one year of leaving high school?

Yes - continue with questions 2-5 No - move to question 6 I don’t know/decline to answer For the next three questions, think about the job you held the longest.

2. Do you or did you work at this job for at least 90 days (about 3 months)?

a. Yes

b. No

c. I don’t know/decline to answer

3. How many hours do or did you work per week? Text Field

4. What is or what was your hourly wage?

a. Less than $7.25 b. $7.25

b. Greater than $7.25

c. I don’t know/decline to answer

5. Do you or did you only work with other people with disabilities?

a. Yes

b. No

c. I don’t know/decline to answer

6. Do you or did you make the same pay as non-disabled employees who do the same job?

a. Yes

b. No

c. I don’t know/decline to answer

7. Do or did you receive benefits from your employer (health insurance or paid time off)?

a. Yes

b. No

c. I don’t know/decline to answer

8. Do you or did you have opportunities for a promotion or career advancement?

a. Yes

b. No

c. I don’t know/decline to answer

9. Which of these describes your current job setting or location? Is or was your employment: (Choose one)

a. Company, business, or service in the community where there are employees with and without disabilities

b. Military/armed forces

c. Supported employment setting-paid work in the community, but includes on-the-job training or assistance (e.g., a job coach, transportation, assistive technology, specialized job training or other individually tailored supervision) to help with their job

d. Entrepreneur/self-employed or working in a family business. This includes being a homeworker or day care provider, or a business such as a farm, store, fishing, ranching, or catering service

e. Community Rehabilitation program/Facility Day program-a setting where most workers have disabilities

f. Other. What?

10. Please choose all reasons that have contributed to you not working or not working for at least 90 days since leaving high school.

a. Not interested in working

b. Volunteering

c. Full-time student/going to school/job-training

d. Unable to find work/lack of employment opportunities

e. Don’t have the necessary skills or qualifications to work

f. Unable to find transportation to school/no driver’s license/no car or insurance

g. Have not received necessary services from community agencies/on waiting list for services

h. Family obligations/home maker

i. Health or disability-related problems prevent me from going to postsecondary school

j. Would lose social security (SSI) or disability benefits

k. Laid off/Recently dismissed/Fired

l. Other. What?

C. Other

1. Have any of the following agencies and organizations helped you meet your goals during school or since leaving? (check all that apply)

· SC Department of Disabilities and Special Needs (DDSN)

· SC Department of Health and Human Services (DHHS)

· SC Department of Mental Health (DMH)

· SC Department of Social Services (DSS)

· SC Works

· SC Vocational Rehabilitation (SCVRD)

· SC Commission for the Blind (SCCB)

· Goodwill Industries

· Job Corps

· Able SC

· AccessAbility

· Walton Options for Independent Living

· Other:

· None

2. Did you participate in any of the following work-based learning experiences in high school?

· Job shadowing (on-site)

· Job shadowing (virtually)

· Service learning (e.g., community service work)

· School-based Enterprise

· Cooperative Education (Co-op) (e.g., community-based work experience)

· Internship

· Apprenticeship

3. Did you meet your post-secondary goals?

a. Yes

b. No

c. I don’t know/decline to answer

4. Is there anything else about your school, work, or living experiences since you left high school you would like to share?

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