EMPLOYMENT SUPPORTS TRANSFORMATION ASSESSMENT
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Surveys

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

The intent of this survey is to help us better understand your knowledge/awareness of work incentives for persons with disabilities, where you heard about the incentive, your use of specific incentives, experiences with using an incentive if you have used it, barriers to using / reasons for not using if you have not used and what may assist you to decide to take advantage of an incentive. This information will help to inform recommendations on how to improve the system of work incentives to maximize the use and benefits of incentives for all parties. 

For the purposes of this survey, an incentive for a business is defined as something of value or of benefit that a business may receive by employing individuals with a disability.

    Organization Identification

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

    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.

    Work Incentives:
    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:

    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)










    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.

    6. Demographic Information

    Race:
    Gender:
    Geographic Location:
    I Identify As:

    All done?

    Click the submit button below to send us your survey.
Submit
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  • Navigating the Process
    • Using This Website
    • Culture Change
    • Transformation Trail
    • FAQs
  • Assessments
    • History of ESTA
    • The ESTA
    • Mini ESTA
    • Electronic ESTA
  • ESTA Domains
    • Leadership
    • Strategic Planning
    • Financial Sustainability
    • Strategic Partnerships
    • Corporate Structure
    • CQI
    • Strategies for Community Inclusion
    • Workforce Preparation and Human Resources
    • Individual and Family Collaboration
  • Resources
    • Facilitating Group Process
    • Sample Workplan
    • Domain Resources >
      • Leadership Resources
      • Strategic Planning Resources
      • Financial Sustainability Resources
      • Strategic Partnerships Resources
      • Corporate Structure Resources
      • CQI Resources
      • Strategies For Community Inclusion Resources
      • Workforce Preparation and Human Resources Resources
      • Individual and Family Collaboration Resources
    • Manufacturing Extension Partnerships
    • Training Within Industry
  • Incentive Surveys
  • Contact Us