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increase text sizedecrease text sizeAccess Instructions for Users with Disabilities

HSA - Vocational Rehabilitation Services Satisfaction Survey


Please select your choice for each statement or question that is relevant to your experience at VRS.  THANKS!

Please note that answers for all of these questions are optional; it is not required to respond to all of the questions in order to complete the survey.


Note: questions marked with an * are required.

  Excellent Good Fair Poor No answer
I feel the services I receive(d) from my counselor were/are:
I feel the services I receive(d) from my benefits’ counseling staff were/are:
I feel the supervision I have or had in the Workcenter/Food Services were/are:
I feel the training I receive(d) in the Workcenter/Food Services were/are:
I feel the services I receive(d) from my job developer were/are:
I feel the services I receive(d) from my job coach were/are:
I feel the services I receive(d) from the "Ready, Set, Work" group were/are:
I feel the services I receive(d) overall from VRS were/are:

Only numbers may be entered in these fields

Format: YYYY-MM-DD
(eg: 2009-07-04 for Independence day)