Form ETA-9124C SCSEP Employer Customer Satisfaction Survey

SCSEP Employer OMB Approval Number: 1205-0040

Customer Satisfaction Survey Expiration Date: 08/31/09

EMPLOYER CUSTOMERS

The Older Worker Program, also known as the Senior Community Service Employment Program (SCSEP), wants to provide the highest quality services to its customers. You can help us improve our services by answering the following questions. Please be completely honest. Your answers will be strictly confidential. Unless the question directs you otherwise, please answer each question on the basis of your most recent experience with the Older Worker Program.

Choose the number on the scale below each question that best represents your opinion. Thank you in advance for your help.

1. Utilizing the scale of 1 to 10 below, what is your overall satisfaction with the services provided by the Older Worker Program? (Choose one number)

Very Very Didn't
dissatisfied satisfied receive

1 2 3 4 5 6 7 8 9 10 90

2. Considering all of the expectations you may have had about the services of the Older Worker Program, to what extent have the services met your expectations? (Choose one number)

Falls Exceeds Didn't
short receive

1 2 3 4 5 6 7 8 9 10 90

3. Now, think about the ideal services for people in your circumstances. How well do you think the services you received compare with the ideal services? (Choose one number)

Not at all Very Didn't
close close receive

1 2 3 4 5 6 7 8 9 10 90

4. The Older Worker Program staff gave me all the information I needed to understand the Older Worker Program. (Choose one number)

Strongly Strongly Not
disagree agree applicable

1 2 3 4 5 6 7 8 9 10 90

Please continue on other side

ETA-9124 – Part C

(June 2004)

Your responses are confidential, and we appreciate your time and assistance.   This voluntary information has been approved by the Office of Management and Budget under OMB approval number 1205-0040, expiring 08/31/2009.   Without this approval, we would not be able to conduct this survey.   The time needed to complete the survey is estimated to average six (6) minutes.  If you have any comments regarding this estimate or any other aspect of this survey, including suggestions for reducing this burden; please send them to the U.S. Department of Labor, Division of Adult Services, Room S-4203, 200 Constitution Avenue, NW, Washington, DC 20210 (Paperwork Reduction Project 1205-0040).

5. Would you say that the Older Worker Program staff that made the job referral(s) had a good understanding of your business needs? (Choose one number)

1 2 3 4 9
Staff had little or Staff had some Staff had Staff had great Don’t
no understanding understanding good understanding understanding know

6. Would you say that the job applicant(s) referred by the Older Worker Program had the necessary skills for the job? (Choose one number)

1 2 3 4 9
Applicant(s) had few or Applicant(s) had Applicant(s) had Applicant(s) had Don’t none of the some of the many of the virtually all of the know

necessary skills necessary skills necessary skills necessary skills

7. The Older Worker Program staff stayed in touch with me after I hired the applicant to make sure that everything was going well. (Choose one number)

Strongly Strongly Don’t
disagree agree know

1 2 3 4 5 6 7 8 9 10 90

8. How many of the older workers hired with the assistance of the Older Worker Program came with the basic computer skills they need? (Choose one number)

1 2 3 4 8 9
None of Few of Some of Nearly all Didn’t need any Don’t know
the workers the workers the workers the workers computer skills

9. Did any of the older workers you hired with the assistance of the Older Worker Program require supportive services, such as assistance with housing, transportation, or medical needs? (Choose one answer)

Please continue on next page

Yes No (Skip to question #11) Don’t know (Skip to question #11)

10. If the answer to question 9 is “Yes,” would you say that the Older Worker Program provided the supportive services that the older workers needed? (Choose one number).

1 2 3 4 9
None Few Some Nearly all Don’t know

11. When I hired older workers with the assistance of the Older Worker Program, the Older Worker Program staff was helpful in resolving any problems I had. (Choose one number)

Strongly Strongly Not
disagree agree applicable

1 2 3 4 5 6 7 8 9 10 90

12. Would you recommend the services of the Older Worker Program to other employers? (Choose one number.)

Definitely Definitely Don't
no yes know

1 2 3 4 5 6 7 8 9 10 90

13. Would you be more inclined to use the Older Worker Program if the program paid the wages of the older workers for a number of weeks while they were gaining work experience? (Choose one answer)

Yes No Don’t know

14. What do you think is most valuable about the Older Worker Program?

_____________________________________________________________________

_____________________________________________________________________

_____________________________________________________________________

15. What part of the Older Worker Program do you think is most in need of improvement?

______________________________________________________________________

______________________________________________________________________

______________________________________________________________________

Thank you for taking the time to complete this survey.

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