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Employer Survey
Answer questions as they relate to you. For most answers, check the boxes most applicable to you or fill in the blanks.
To the Employer:

1.
How long has this employee worked for you?
1 month to 11 months
1 year to 2 years
3 years to 4 years
5 years or more
Knowledge/Skills: please rate each item separately.

2.
Overall knowledge of the field
Very Satisfied
Satisfied
Neutral
Dissatisfied
Very Dissatisfied

3.
Individual Counseling Skills
Very Satisfied
Satisfied
Neutral
Dissatisfied
Very Dissatisfied

4.
Group Counseling Skills
Very Satisfied
Satisfied
Neutral
Dissatisfied
Very Dissatisfied

5.
Counseling culturally diverse clients
Very Satisfied
Satisfied
Neutral
Dissatisfied
Very Dissatisfied

6.
Client Assessment
Very Satisfied
Satisfied
Neutral
Dissatisfied
Very Dissatisfied

7.
Medical Aspects Knowledge
Very Satisfied
Satisfied
Neutral
Dissatisfied
Very Dissatisfied

8.
Functional Aspects Knowledge
Very Satisfied
Satisfied
Neutral
Dissatisfied
Very Dissatisfied

9.
Career Development Strategies
Very Satisfied
Satisfied
Neutral
Dissatisfied
Very Dissatisfied

10.
Knowledge of Disability Resources
Very Satisfied
Satisfied
Neutral
Dissatisfied
Very Dissatisfied

11.
Documentation Skills
Very Satisfied
Satisfied
Neutral
Dissatisfied
Very Dissatisfied

12.
Applying Ethics at Work
Very Satisfied
Satisfied
Neutral
Dissatisfied
Very Dissatisfied

13.
Overall Satisfaction
Very Satisfied
Satisfied
Neutral
Dissatisfied
Very Dissatisfied

14.
How well prepared do you feel this employee is compared to other employees with the same job title & similar educational preparation?
Much Better Prepared
Slightly Better Prepared
Equally Prepared
Less Prepared
Much Less Prepared

15.
If you had the opportunity, would you rehire this individual?
Yes
No

16.
Which best describes your work setting?
State Vocational Rehabilitation Agency
Community Agency (Not for Profit)
State Hospital
Other Government Agency
Rehabilitation Hospital or Sub Acute Facility
Insurance Company
Private Practice
School or Education Setting
Other:
Strengths/Improvements/Comments/Suggestions
Based on the work of this employee, please provide your comments & suggestions about the strengths of the program and areas for improvement with regard to the preparation of our students.
17.
Program Strengths:

18.
Areas for Improvement:

19.
Comments/Suggestions:

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