Goodwill of Central and Coastal Virginia Referral Survey WELCOME GOODWILL INDUSTIRES OF CENTRAL AND COASTAL VIRGINIAThank you for your time and effort to give us feedback about Goodwill's services. We are very interested in making sure we provide you with the best possible service. This survey should not take more than 2 minutes to complete and will help us better meet our referral parnters’ needs. Your answers will remain confidential. We appreciate your input! Question Title * 1. What is the primary reason you refer clients to Goodwill? Cost effectiveness Location Reputation Staff excellence Services we provide Other (please specify) Question Title * 2. How many referrals have you made in the last 12 months? 1 time 2-5 5-10 10-20 20+ Question Title * 3. What service/program do you refer your clients most frequently or most recently? Career Fair Community Employment Center Ability One - Job Placement Ability One - Follow Along Enclave - Job Placement Enclave - Follow Along Supported Employment - Job Placement Supported Employment - Follow Along TIE Transitional Employment Work Adjustment Skills Building Question Title * 4. How do you feel about the services we provide regarding your referrals? Strongly Agree Agree Neutral Disagree Strongly Disagree The referral process is easy The referral process is easy Strongly Agree The referral process is easy Agree The referral process is easy Neutral The referral process is easy Disagree The referral process is easy Strongly Disagree Staff responsiveness Staff responsiveness Strongly Agree Staff responsiveness Agree Staff responsiveness Neutral Staff responsiveness Disagree Staff responsiveness Strongly Disagree Kept informed of client's progress Kept informed of client's progress Strongly Agree Kept informed of client's progress Agree Kept informed of client's progress Neutral Kept informed of client's progress Disagree Kept informed of client's progress Strongly Disagree The outcome obtained was desirable The outcome obtained was desirable Strongly Agree The outcome obtained was desirable Agree The outcome obtained was desirable Neutral The outcome obtained was desirable Disagree The outcome obtained was desirable Strongly Disagree Question Title * 5. Rate your overall satisfaction with Goodwill Very Satisfied Satisfied Undecided Dissatisfied Very Dissatisfied No Answer Very Satisfied Satisfied Undecided Dissatisfied Very Dissatisfied No Answer Question Title * 6. Likelihood to use Goodwill in the future? Very Likely Likely Undecided Not Likely Very Un-likely No Response Question Title * 7. Likelihood to recommend Goodwill to others? Very Likely Likely Undecided Not Likely Very Un-likely No Response Question Title * 8. What could Goodwill do better? Question Title * 9. Please select type of Referring Agency. If Other, please describe. State Vocational Rehabilitation Agency Workforce Investment Act School System State Agency for the Blind Veteran's Administration Mental Health/Mental Retardation/Developmental Disabilities Corrections/Justice System Housing Authority and Agencies TANF Administration Other Public Health, Human & Social Service Agency Private Rehabilitation Agency Workers Compensation/Insurance Agency Local Food Stamp Agency/WIC Employer Other private, Non-Profit Agency (other CBO/United Way/FBO) Other (please specify) Question Title * 10. Please Enter the zip code for your organization: Question Title * 11. Contact Information (Name, Address, Phone Number & Email Address): Your contact information is optional.Please contact us if you have concerns you would like to express or services we can provide. Done