Name
*
First Name
Last Name
Personal Email Address (not your WSB email)
*
Mailing Address
*
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Program Name
*
Program Start Date
*
MM
DD
YYYY
Case Manager
*
WSB made me feel welcome upon arrival.
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Select Your Answer
Strongly Agree
Somewhat Agree
Neither Agree Nor Disagree
Somewhat Disagree
Strongly Disagree
The housing office was easy to contact.
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Strongly Agree
Somewhat Agree
Neither Agree Nor Disagree
Somewhat Disagree
Strongly Disagree
The housing office handled my requests in a professional manner.
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Strongly Agree
Somewhat Agree
Neither Agree Nor Disagree
Somewhat Disagree
Strongly Disagree
Additional Comments About Housing
The housekeeping staff was always professional.
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Strongly Agree
Somewhat Agree
Neither Agree Nor Disagree
Somewhat Disagree
Strongly Disagree
WSB classrooms and hallways were clutter-free.
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Strongly Agree
Somewhat Agree
Neither Agree Nor Disagree
Somewhat Disagree
Strongly Disagree
WSB classrooms and hallways smelled clean.
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Strongly Agree
Somewhat Agree
Neither Agree Nor Disagree
Somewhat Disagree
Strongly Disagree
The WSB cafe always provided 2 or more options for each meal.
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Strongly Agree
Somewhat Agree
Neither Agree Nor Disagree
Somewhat Disagree
Strongly Disagree
The WSB cafe was clean.
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Strongly Agree
Somewhat Agree
Neither Agree Nor Disagree
Somewhat Disagree
Strongly Disagree
The cafe staff were always professional.
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Strongly Agree
Somewhat Agree
Neither Agree Nor Disagree
Somewhat Disagree
Strongly Disagree
Additional Comments About Hospitality
Facilities were presentable.
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Strongly Agree
Somewhat Agree
Neither Agree Nor Disagree
Somewhat Disagree
Strongly Disagree
Facility matters were handled professionally.
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Strongly Agree
Somewhat Agree
Neither Agree Nor Disagree
Somewhat Disagree
Strongly Disagree
Facility matters were handled in a timely manner.
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Strongly Agree
Somewhat Agree
Neither Agree Nor Disagree
Somewhat Disagree
Strongly Disagree
Additional Comments About Facilities & Maintenance
I met my case manager on my first business day at WSB.
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Strongly Agree
Somewhat Agree
Neither Agree Nor Disagree
Somewhat Disagree
Strongly Disagree
I saw my case manager at least once a week, either in passing or in a meeting.
*
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Strongly Agree
Somewhat Agree
Neither Agree Nor Disagree
Somewhat Disagree
Strongly Disagree
My case manager handled my requests professionally.
*
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Strongly Agree
Somewhat Agree
Neither Agree Nor Disagree
Somewhat Disagree
Strongly Disagree
My case manager was dedicated to my completion of my program at WSB.
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Strongly Agree
Somewhat Agree
Neither Agree Nor Disagree
Somewhat Disagree
Strongly Disagree
My case manager met with me once a month to update my vocational rehab counselor of my progress at WSB.
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Strongly Agree
Somewhat Agree
Neither Agree Nor Disagree
Somewhat Disagree
Strongly Disagree
Additional Comments About Case Management
Were you made aware that social worker services were available during your time at WSB?
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Select Your Answer
Strongly Agree
Somewhat Agree
Neither Agree Nor Disagree
Somewhat Disagree
Strongly Disagree
Did you take advantage of these services during your time at WSB?
*
Select Your Answer
Strongly Agree
Somewhat Agree
Neither Agree Nor Disagree
Somewhat Disagree
Strongly Disagree
Did the social worker services meet your needs?
Select Your Answer
Strongly Agree
Somewhat Agree
Neither Agree Nor Disagree
Somewhat Disagree
Strongly Disagree
Additional Comments About Social Worker Services
Were you made aware that WSB has a full-time nurse on staff during regular business hours?
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Select Your Answer
Strongly Agree
Somewhat Agree
Neither Agree Nor Disagree
Somewhat Disagree
Strongly Disagree
Did you receive care from the on-campus nurse?
*
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Strongly Agree
Somewhat Agree
Neither Agree Nor Disagree
Somewhat Disagree
Strongly Disagree
Additional Comments About Medical
My assistive technology instructor helped me establish and accomplish goals to use assistive technology as a tool for living independently.
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Select Your Answer
Strongly Agree
Somewhat Agree
Neither Agree Nor Disagree
Somewhat Disagree
Strongly Disagree
N/A
My basic communications instructor helped me establish and accomplish goals to use basic communications as a tool for living independently.
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Select Your Answer
Strongly Agree
Somewhat Agree
Neither Agree Nor Disagree
Somewhat Disagree
Strongly Disagree
N/A
My Braille instructor helped me establish and accomplish goals to use braille as a tool for living independently.
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Select Your Answer
Strongly Agree
Somewhat Agree
Neither Agree Nor Disagree
Somewhat Disagree
Strongly Disagree
N/A
My keyboarding instructor helped me establish and accomplish goals to use typing as a tool for living independently.
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Select Your Answer
Strongly Agree
Somewhat Agree
Neither Agree Nor Disagree
Somewhat Disagree
Strongly Disagree
N/A
My low vision instructor helped me establish and accomplish goals to use print reading devices as a tool for living independently.
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Select Your Answer
Strongly Agree
Somewhat Agree
Neither Agree Nor Disagree
Somewhat Disagree
Strongly Disagree
N/A
My orientation and mobility instructor helped me establish and accomplish goals to use mobility as a tool for living independently.
*
Select Your Answer
Strongly Agree
Somewhat Agree
Neither Agree Nor Disagree
Somewhat Disagree
Strongly Disagree
N/A
My techniques of daily living instructor helped me establish and accomplish goals to use techniques of daily living as a tool for living independently.
*
Select Your Answer
Strongly Agree
Somewhat Agree
Neither Agree Nor Disagree
Somewhat Disagree
Strongly Disagree
N/A
Additional Comments About Pre-vocational Programs
I entered my vocational program in a timely manner.
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Select Your Answer
Strongly Agree
Somewhat Agree
Neither Agree Nor Disagree
Somewhat Disagree
Strongly Disagree
N/A
My vocational instructor presented the class with up-to-date material.
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Select Your Answer
Strongly Agree
Somewhat Agree
Neither Agree Nor Disagree
Somewhat Disagree
Strongly Disagree
N/A
My vocational instructor met one-on-one with me at least once every 2 weeks to discuss my progress in the program.
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Select Your Answer
Strongly Agree
Somewhat Agree
Neither Agree Nor Disagree
Somewhat Disagree
Strongly Disagree
N/A
My vocational instructor was good at resolving conflicts in the classroom.
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Select Your Answer
Strongly Agree
Somewhat Agree
Neither Agree Nor Disagree
Somewhat Disagree
Strongly Disagree
N/A
My vocational instructor led lectures regularly.
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Select Your Answer
Strongly Agree
Somewhat Agree
Neither Agree Nor Disagree
Somewhat Disagree
Strongly Disagree
N/A
The course curriculum was clear and easy to follow.
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Select Your Answer
Strongly Agree
Somewhat Agree
Neither Agree Nor Disagree
Somewhat Disagree
Strongly Disagree
N/A
My vocational instructor gave me many opportunities to practice course theory.
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Select Your Answer
Strongly Agree
Somewhat Agree
Neither Agree Nor Disagree
Somewhat Disagree
Strongly Disagree
N/A
My vocational instructor was up-to-date on employment trends for the blind and visually impaired.
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Select Your Answer
Strongly Agree
Somewhat Agree
Neither Agree Nor Disagree
Somewhat Disagree
Strongly Disagree
N/A
Additional Comments About Vocational Programs
I began preparing for employment within the final 6 weeks of my training.
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Select Your Answer
Strongly Agree
Somewhat Agree
Neither Agree Nor Disagree
Somewhat Disagree
Strongly Disagree
N/A
I know how to write a resume and cover letter tailored to a specific job posting.
*
Select Your Answer
Strongly Agree
Somewhat Agree
Neither Agree Nor Disagree
Somewhat Disagree
Strongly Disagree
N/A
I have applied to more than 10 jobs.
*
Select Your Answer
Strongly Agree
Somewhat Agree
Neither Agree Nor Disagree
Somewhat Disagree
Strongly Disagree
N/A
I know how to prepare for a job interview.
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Select Your Answer
Strongly Agree
Somewhat Agree
Neither Agree Nor Disagree
Somewhat Disagree
Strongly Disagree
N/A
My employment preparation instructor had many examples of resumes for me to use.
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Select Your Answer
Strongly Agree
Somewhat Agree
Neither Agree Nor Disagree
Somewhat Disagree
Strongly Disagree
N/A
My employment preparation instructor had many examples of cover letters for me to use.
*
Select Your Answer
Strongly Agree
Somewhat Agree
Neither Agree Nor Disagree
Somewhat Disagree
Strongly Disagree
N/A
I am familiar with usa.gov.
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Select Your Answer
Strongly Agree
Somewhat Agree
Neither Agree Nor Disagree
Somewhat Disagree
Strongly Disagree
N/A
I am familiar with indeed.com.
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Select Your Answer
Strongly Agree
Somewhat Agree
Neither Agree Nor Disagree
Somewhat Disagree
Strongly Disagree
N/A
I am familiar with linkedin.com.
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Select Your Answer
Strongly Agree
Somewhat Agree
Neither Agree Nor Disagree
Somewhat Disagree
Strongly Disagree
N/A
Additional Comments About Employment Preparation
I knew how to contact administration.
*
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Strongly Agree
Somewhat Agree
Neither Agree Nor Disagree
Somewhat Disagree
Strongly Disagree
I always felt welcome by the administration and their staff.
*
Select Your Answer
Strongly Agree
Somewhat Agree
Neither Agree Nor Disagree
Somewhat Disagree
Strongly Disagree
Administration were dedicated to the success of the clients at WSB.
*
Select Your Answer
Strongly Agree
Somewhat Agree
Neither Agree Nor Disagree
Somewhat Disagree
Strongly Disagree
Were you made aware of the services available to you in the WSB business office?
*
Select Your Answer
Strongly Agree
Somewhat Agree
Neither Agree Nor Disagree
Somewhat Disagree
Strongly Disagree
Did you make use of any business office services?
*
Select Your Answer
Strongly Agree
Somewhat Agree
Neither Agree Nor Disagree
Somewhat Disagree
Strongly Disagree
Additional Comments About Leadership & Administration
Were you made aware of scheduled recreation activities, shopping trips and other outings?
*
Select Your Answer
Strongly Agree
Somewhat Agree
Neither Agree Nor Disagree
Somewhat Disagree
Strongly Disagree
Did you participate in any of these activities?
*
Select Your Answer
Strongly Agree
Somewhat Agree
Neither Agree Nor Disagree
Somewhat Disagree
Strongly Disagree
Additional Comments About Recreation?
Do you have additional comments on anything not covered in this exit interview? This can include compliments, concerns and suggestions.
Do you have any comments we could use as testimonials for communication purposes?
Would you like to receive emails from WSB?
Yes
No