Community Supports

In completing this survey, please identify the individual within your business who is the primary driver or “catalyst” for identifying and/or promoting the use of work incentives for persons with disabilities:

Person completing survey if different from above:

1. Awareness Of Work Incentive Programs For Businesses

We are interested in understanding your level of awareness of various work incentive programs and resources for persons with disabilities that are available to businesses. Please rate your level of agreement with the statement below based on your familiarity with each work incentive program using the following Likert Scale from 1-5.

“I am aware of this incentive and understand what it provides as a hiring incentive to businesses."

The following is a list of work incentives that a business may obtain for hiring/assisting individuals with disabilities.

Work Incentives:

Disabled Tax Credit *

ADA Small Business Tax Credit *

Workers Employment Tax Credit (WETC) *

Labor for America *

Barrier Removal Tax Deduction *

Welfare to Work Tax Credit *

Manufacturers Extension Partnership *

Work Opportunity Tax Credit (WOTC) *

Employee Job Coaching Support *

NYS Workers with Disabilities Tax Credit *

Other (List others you are aware of or used) *

Has your business used this work incentive?
The following is a list of work incentives that a business may obtain for hiring/assisting individuals with disabilities. If you are a business completing this survey, please respond Yes or No based on your knowledge of the work incentives listed below.

Work Incentives:

2. Awareness of Work Incentive Programs

We are interested in understanding your level of awareness of various work incentive programs and resources that persons with disabilities may use during their employment. Please rate your level of agreement with the statement below based on your familiarity with each work incentive program using the following Likert Scale from 1-5.

“I am aware of this incentive and understand what it provides as a hiring incentive to businesses."

The following is a list of incentives that employees with disabilities may access to help them obtain and remain in a job.

Employee Incentives:

Medicaid Waiver *

Ticket to Work (NYESS/WIN) *

ACCES-VR/Commission for the Blind *

Plan for Achieving Self-Support (PASS) *

Income Averaging (SSDI) *

Expedited Reinstatement of Benefits *

Impairment Related Work Expense *

1619(a)/11619(b) *

Earned Income Tax Credits *

Trial Work Period (TWP) *

Medicaid Buy-In *

NY ABLE *

Do you know of any of your employees that use/have used this incentive?
The following is a list of incentives that employees with disabilities may access to help them obtain and remain in a job. If you are a business completing this survey, please respond Yes or No based on your knowledge of the work incentives listed below.

Employee Incentives:

3. Satisfaction with Work Incentive Programs

We are interested in learning more about your experiences with using work incentive programs and your reasons for not using these programs. Please rate your level of satisfaction with the statement below based on your experience in using incentives using the following Likert Scale from 1-5.

“I found value for my business when using this work incentive."

Disabled Tax Credit *

ADA Small Business Tax Credit *

Workers Employment Tax Credit (WETC) *

Labor for America *

Barrier Removal Tax Deduction *

Welfare to Work Tax Credit *

Manufacturers Extension Partnership *

Work Opportunity Tax Credit (WOTC) *

Employee Job Coaching Support *

NYS Workers with Disabilities Tax Credit *

Other (List others you are aware of or used) *

The following is a list of incentives that a business may obtain for hiring/assisting individuals with disabilities.

For each incentive listed, indicate with a letter (see below) what corresponds to your decision to NOT USE that work incentive. You may indicate more than one reason if applicable.

List for Reasons NOT USED:
A. N/A; I have used this incentive
B. Not aware of incentive
C. I don’t understand what it can do for me
D. I don’t see any value to me using it
E. Paperwork is more trouble than it is worth
F. Time invested in this does not offset my cost
G. Information about the incentive is complicated and confusing
H. Too many government imposed requirements or regulations
I. Incentive not applicable to my line of business

Work Incentive:

Disabled Tax Credit *

ADA Small Business Tax Credit *

Workers Employment Tax Credit (WETC) *

Labor for America *

Barrier Removal Tax Deduction *

Welfare to Work Tax Credit *

Manufacturers Extension Partnership *

Work Opportunity Tax Credit (WOTC) *

Employee Job Coaching Support *

NYS Workers with Disabilities Tax Credit *

Other (List others you are aware of or used) *

4. Learning About Work Incentive Programs

The following is a list of incentives a business may obtain for hiring/assisting individuals with a disability and or an employee with a disability may obtain to assist them on the job.

We are interested in understanding more about how you heard about work incentive programs overall. Please check all of the sources where you have received information/learned about incentives. Include any related thoughts or concerns about the distribution of information or education provided in the “Comment” box below. For each incentive listed, indicate with a letter (see below), the most frequent way you have heard it.

List of the source that informed you of the work incentive:
A. I am not aware of this incentive
B. Local Advocacy Group
C. Local Chamber of Commerce
D. Local Business Association
E. Event in community
F. Print media
G. Social media
H. TV, radio, etc
I. Gov’t. entity
J. Other (specify)

Disabled Tax Credit *

Other (Specify) *

ADA Small Business Tax Credit *

Other (Specify) *

Workers Employment Tax Credit (WETC) *

other (specify) *

Employee Job Coaching Support *

other (specify) *

Barrier Removal Tax Deduction *

Other (specify) *

Welfare to Work Tax Credit *

Other (specify) *

Manufacturers Extension Partnership *

other (specify) *

Labor for America *

Other (Specify) *

Work Opportunity Tax Credit (WOTC) *

Other (Specify) *

Apprenticeship Programs *

other (specify) *

NYS Workers with Disabilities Tax Credit *

Other (specify) *

5. Assistance with Work Incentive Programs

We are interested in learning more about what types of assistance, education, etc. that may be helpful to support a business to use work incentives. Please check all of the areas of assistance that you think would be helpful. Include any related thoughts about assistance that would be helpful in the “Comment” box below.

What would you need to help you take advantage of using work incentives? (check all that apply) *

Clear understandable guidance Access to technical assistance for “how to apply” for benefit Advice about how employment and having a disability can work together Specific training for agency staff to learn about work incentives Easy to use website Online tutorials Other (list in "Comments" area)

Surveys

Survey for Community Supports (Business, Schools, Employers, Social Networks, etc.)

Organization Identification

1. Awareness Of Work Incentive Programs For Businesses

“I am aware of this incentive and understand what it provides as a hiring incentive to businesses."

2. Awareness of Work Incentive Programs

“I am aware of this incentive and understand what it provides as a hiring incentive to businesses."

3. Satisfaction with Work Incentive Programs

“I found value for my business when using this work incentive."

4. Learning About Work Incentive Programs

5. Assistance with Work Incentive Programs

6. Demographic Information

All done?