WNYIL, Inc. Taking Control Personal Assistant Feedback Survey

Welcome to the Taking Control Program Assistant Feedback Survey

This is your opportunity to tell us what is going right, what is going wrong, and how to make things better.

Please answer the following questions to help WNYIL make your experiences with the Taking Control Program the best they can be. If you wish for us to follow up with you personally on any of the concerns/issues you raised, please provide your name and contact information at the end of the survey. Otherwise, your responses will be strictly anonymous.

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* 1. As an assistant in the Taking Control Program I would like to…(choose all that apply).

earn competitive pay

earn better health care benefits

earn more vacation time

earn more sick days

earn extra pay for working on holidays

get more hours of work

get more training

have better working conditions

be evaluated by my employer

know who my boss is

receive a recent manual explaining my responsibilities as an assistant (within the last year)

Not applicable

Other (please specify)

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* 2. As an assistant in the Taking Control Program I would like to know who is responsible for…(choose all that apply).

hiring me

firing me

training me

evaluating me

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* 3. Please explain any other issue(s) you are having difficulty with regarding the Taking Control Program.

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* 4. Please explain any idea(s) you may have to help WNYIL make the Taking Control Program better for you.

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* 5. I would like a Taking Control Representative to contact me about a personal concern I have about my participation in the Taking Control program:

Name

Phone Number

Brief description of the concern you wish for Taking Control to resolve

Thank you for completing the Taking Control Feedback Survey.

Your responses will assist WNYIL in improving your interaction and experience with the Taking Control Program.

If you have witnessed fraud, waste, or abuse of the Taking Control Program please contact Tina Brown at tbrown@wnyil.org or our anonymous toll-free number 1-866-576-8042.