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Pennsylvania Statewide Needs Assessment - Public Sector Survey

1. What agency or organization do you work for?

2. What is the ZIP code of the office where you work? This question requires a valid number format.

3. Please describe your work experience in working with those with disabilities.

4. What are the barriers to employment your customers face?

Disability is too significant
Lack of education
Lack of training
Mobility/Transportation
Stereotypes of abilities
Support Services (room, board, tools, licenses, home modification, job accomodations, personal care assistance)
Other Please enter an 'other' value for this selection.

5. What are the barriers to independence your customers face?

Disability is too significant
Lack of education
Lack of training
Mobility/Transportation
Stereotypes of abilities
Support Services (room, board, tools, licenses, home modification, job accomodations, personal care assistance)
Other Please enter an 'other' value for this selection.

6. Which of these services do you provide and what are the rates at which you recommend them?

Assistive technology (e.g. screen reader, scanning software)
Counseling services
Evaluation
Training/Education
Vocational placement
Vocational planning
Other

If you selected "Other", please describe your service.

7. How successful is each service for the customers?

Assistive technology
Counseling services
Evaluation
Training / Education
Vocational Placement
Vocational Planning
Other

If you selected "Other", please describe the service.

8. What service gaps exist in your organization?

Lack of knowledge to deal with specific disabilities
Limited money to serve everyone who needs help
Too few staff to serve everyone who needs help
Other Please enter an 'other' value for this selection.

9. How are these gaps being addressed?

10. How do customers access or refer themselves for services through your agency?

Call-in process
Court referral
Electronic referral process (CWDS, Compass, website)
Medical referral
Private sector referral
Public sector referral
Walk-in process
Other Please enter an 'other' value for this selection.

11. How do you coordinate ancillary services with other public sector counterparts?

12. How do you coordinate ancillary services with private sector organizations?

13. How do your customers find out about your services? How effective is each method at reaching the customer base?

Internet search
Media spots (TV/radio)
Medical professional referral
Private sector referral
Public sector referral
Self (customer) referral
Told by another customer
Other

If you chose "Other", please describe the method by which customers learn of your services.

14. What criteria are in place to determine eligibility for services?

Financial need
Functional limitations to employment
Geographic location
Previous services received
Residency
Severity of disability
Type of disability
Other Please enter an 'other' value for this selection.

15. What are your reasons for denials of service? Please rank your answers in the order of frequency. Sort your answers so the most frequent reason is on top. Note: for the following table each column is restricted to a single answer across all rows.

Does not meet eligibility requirements
Not a resident of PA
Not willing to work
Did not follow through on rehabilitation plan
Cannot be located
Other

If desired, please describe any reasons for denials of service which might fall into the "Other" category.

16. Are you aware of any groups of people with disabilities who, because of their membership in the group (e.g. race, age, nature of disability, geographic location) have a harder time receiving services?

Please identify and list the group(s) to which you refer in Question 16.

Age
Geographic location
Multiple disabilities
Nature of disability
Race
Other

17. Please describe your agency's staff training program.

18. Are staff required to participate in continued education/training programs?

How many hours are required in a year?

19. Does your staff have unmet training needs?

Please describe.

20. Are there any upcoming changes in your organization (funding base, available services, new laws and regulations) that may affect other organizations or providers?

How are the changes being addressed?

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