Two Customer Satisfaction Surveys

WISE Webinar Survey Questionnaire

Thank you for attending today’s Ticket to Work WISE Viewing Party. We hope you found the information helpful! Please let us know how Social Security can improve the Ticket to Work program or the WISE webinar presentation so they can offer the best possible support to people with disabilities.

Please choose the number that best describes your impressions of the WISE webinar.

 

1 = Strongly Disagree   4 = Strongly Agree

 

1. I know more about Ticket to Work 1          2          3          4         N/A

 

2. I know more about Work Incentives 1          2          3          4         N/A

 

3. I plan to contact an Employment Network 1          2          3          4         N/A

 

4. I plan to contact a State Voc. Rehab. Agency 1          2          3          4         N/A

5. The presenters were well-prepared, organized 1          2          3          4         N/A

 

6. The presenters were easy to understand 1          2          3          4         N/A

            

7. This webinar met my accessibility needs 1          2          3          4         N/A

OMB Control No. 0960-0788

Expiration Date:  July 2014

Paperwork Reduction Act Statement

Paperwork Reduction Act Statement – This information collection meets the requirements of 44 U.S.C. §3507, as amended by section 2 of the Paperwork Reduction Act of 1995. You do not need to answer these questions unless we display a valid Office of Management and Budget control number. We estimate that it will take about 5 minutes to complete this survey. You may send comments on our time estimate above: SSA, 6401 Security Blvd., Baltimore, MD 21235-6401. Send only comments relating to our time estimate to this address.