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* 1. Please select the option that best describes your employing organization:

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* 2. Please select the option that best describes your role:

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* 3. What is your job title?

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* 4. At your organization, which workforce issue is most prevalent?

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* 5. At your organization, what are the most significant hiring, retention, and recruitment barriers?

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* 6. Please indicate how strongly you agree or disagree with the following statements:

  Strongly Disagree Disagree Neither Agree Nor Disagree Agree Strongly Agree
Providers at my organization can practice at the full capacity of their license.
I find myself and my colleagues performing tasks that are outside of our scope of work.
Individuals with high school diplomas, GEDs, or Associates Degrees are a viable option for addressing workforce needs.
It takes our organization a significant amount of time to fill open positions.
We would be able to serve more clients within the community if we were able to recruit more staff.
Workforce shortages are the most significant barrier we face to meeting the needs of the community.
Due to workforce shortages, there are waiting lists for some services.

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* 7. What is your organization’s most challenging retention barrier?

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* 8. Of the services offered at your organization, which has the most difficulty hiring credentialed staff ?

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* 9. Are there any gaps in services provided at your organization due to recruitment/retention challenges? If so, please explain.

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* 10. What is your most successful recruitment strategy?

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* 11. What is your average time to hire?

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* 12. What factors most influence time to hire?

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* 13. Do you provide annual salary increases for your staff?

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