ETA 9124C Employer Customer Satisfaction Survey

SCSEP Employer
Customer Satisfaction Survey

OMB Approval Number: 1205-0040
Expiration Date: 10/31/2010

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
dissatisfied

1

2

3

4

5

6

7

8

9

Very
satisfied

Didn't
receive

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
short

1

2

3

4

5

6

7

8

9

Exceeds

Didn't
receive

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
close

1

2

3

4

5

6

7

8

9

Very
close

Didn't
receive

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
disagree

1

2

3

4

5

6

7

8

9

Strongly
agree

Not
applicable

10

90

Please continue on other side
ETA-9124 – Part C
(Revised September 2010)
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. Without this approval, we would not be able to conduct this survey. The
time needed to complete the survey is estimated to average ten (10) 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, Divi sion of Adult
Services, Room S-4209, 200 Constitution Avenue, NW, Washington, DC. (Please do not return surveys to this address.)

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SCSEP Employer Customer Satisfaction Survey

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
Staff had little or
no understanding

2
Staff had some
understanding

3
Staff had
good understanding

4
Staff had great
understanding

9
Don’t
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
Applicant(s) had few or
none of the
necessary skills

2
Applicant(s) had
some of the
necessary skills

3
Applicant(s) had
many of the
necessary skills

4
Applicant(s) had
virtually all of the
necessary skills

9
Don’t
know

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
disagree

1

2

3

4

5

6

7

8

9

Strongly
agree

Don’t
know

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
None of
the workers

2
Few of
the workers

3
Some of
the workers

4
Nearly all
the workers

8
Didn’t need any
computer skills

9
Don’t know

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)
Yes

No (Skip to question #11)

Don’t know (Skip to question #11)

Please continue on next page

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SCSEP Employer Customer Satisfaction Survey
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
None

2
Few

3
Some

4
Nearly all

9
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
disagree

1

2

3

4

5

6

7

8

9

Strongly
agree

Not
applicable

10

90

12. Would you recommend the services of the Older Worker Program to other employers?
(Choose one number.)
Definitely
no

1

2

3

4

5

6

7

8

9

Definitely
yes

Don't
know

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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