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. 
              
                * 
              
             
          
                
                
                
                  
                    Select Your Answer 
                  
                    Strongly Agree 
                  
                    Somewhat Agree 
                  
                    Neither Agree Nor Disagree 
                  
                    Somewhat Disagree 
                  
                    Strongly Disagree 
                  
                   
                 
              
            
            
            
            
            
            
            
        
          
          
            
            
            
            
            
            
            
            
            
            
            
            
            
              
                
            
              The housing office was easy to contact.
              
                * 
              
             
          
                
                
                
                  
                    Select Your Answer 
                  
                    Strongly Agree 
                  
                    Somewhat Agree 
                  
                    Neither Agree Nor Disagree 
                  
                    Somewhat Disagree 
                  
                    Strongly Disagree 
                  
                   
                 
              
            
            
            
            
            
            
            
        
          
          
            
            
            
            
            
            
            
            
            
            
            
            
            
              
                
            
              The housing office handled my requests in a professional manner.
              
                * 
              
             
          
                
                
                
                  
                    Select Your Answer 
                  
                    Strongly Agree 
                  
                    Somewhat Agree 
                  
                    Neither Agree Nor Disagree 
                  
                    Somewhat Disagree 
                  
                    Strongly Disagree 
                  
                   
                 
              
            
            
            
            
            
            
            
        
          
          
            
            
            
            
              
                
            
              Additional Comments About Housing
              
             
          
                
                
              
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
        
          
          
            
            
            
            
            
            
            
            
            
            
            
            
            
              
                
            
              The housekeeping staff was always professional.
              
                * 
              
             
          
                
                
                
                  
                    Select Your Answer 
                  
                    Strongly Agree 
                  
                    Somewhat Agree 
                  
                    Neither Agree Nor Disagree 
                  
                    Somewhat Disagree 
                  
                    Strongly Disagree 
                  
                   
                 
              
            
            
            
            
            
            
            
        
          
          
            
            
            
            
            
            
            
            
            
            
            
            
            
              
                
            
              WSB classrooms and hallways were clutter-free.
              
                * 
              
             
          
                
                
                
                  
                    Select Your Answer 
                  
                    Strongly Agree 
                  
                    Somewhat Agree 
                  
                    Neither Agree Nor Disagree 
                  
                    Somewhat Disagree 
                  
                    Strongly Disagree 
                  
                   
                 
              
            
            
            
            
            
            
            
        
          
          
            
            
            
            
            
            
            
            
            
            
            
            
            
              
                
            
              WSB classrooms and hallways smelled clean.
              
                * 
              
             
          
                
                
                
                  
                    Select Your Answer 
                  
                    Strongly Agree 
                  
                    Somewhat Agree 
                  
                    Neither Agree Nor Disagree 
                  
                    Somewhat Disagree 
                  
                    Strongly Disagree 
                  
                   
                 
              
            
            
            
            
            
            
            
        
          
          
            
            
            
            
            
            
            
            
            
            
            
            
            
              
                
            
              The WSB cafe always provided 2 or more options for each meal. 
              
                * 
              
             
          
                
                
                
                  
                    Select Your Answer 
                  
                    Strongly Agree 
                  
                    Somewhat Agree 
                  
                    Neither Agree Nor Disagree 
                  
                    Somewhat Disagree 
                  
                    Strongly Disagree 
                  
                   
                 
              
            
            
            
            
            
            
            
        
          
          
            
            
            
            
            
            
            
            
            
            
            
            
            
              
                
            
              The WSB cafe was clean. 
              
                * 
              
             
          
                
                
                
                  
                    Select Your Answer 
                  
                    Strongly Agree 
                  
                    Somewhat Agree 
                  
                    Neither Agree Nor Disagree 
                  
                    Somewhat Disagree 
                  
                    Strongly Disagree 
                  
                   
                 
              
            
            
            
            
            
            
            
        
          
          
            
            
            
            
            
            
            
            
            
            
            
            
            
              
                
            
              The cafe staff were always professional.
              
                * 
              
             
          
                
                
                
                  
                    Select Your Answer 
                  
                    Strongly Agree 
                  
                    Somewhat Agree 
                  
                    Neither Agree Nor Disagree 
                  
                    Somewhat Disagree 
                  
                    Strongly Disagree 
                  
                   
                 
              
            
            
            
            
            
            
            
        
          
          
            
            
            
            
              
                
            
              Additional Comments About Hospitality
              
             
          
                
                
              
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
        
          
          
            
            
              
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
        
          
          
            
            
            
            
            
            
            
            
            
            
            
            
            
              
                
            
              Facilities were presentable. 
              
                * 
              
             
          
                
                
                
                  
                    Select Your Answer 
                  
                    Strongly Agree 
                  
                    Somewhat Agree 
                  
                    Neither Agree Nor Disagree 
                  
                    Somewhat Disagree 
                  
                    Strongly Disagree 
                  
                   
                 
              
            
            
            
            
            
            
            
        
          
          
            
            
            
            
            
            
            
            
            
            
            
            
            
              
                
            
              Facility matters were handled professionally. 
              
                * 
              
             
          
                
                
                
                  
                    Select Your Answer 
                  
                    Strongly Agree 
                  
                    Somewhat Agree 
                  
                    Neither Agree Nor Disagree 
                  
                    Somewhat Disagree 
                  
                    Strongly Disagree 
                  
                   
                 
              
            
            
            
            
            
            
            
        
          
          
            
            
            
            
            
            
            
            
            
            
            
            
            
              
                
            
              Facility matters were handled in a timely manner. 
              
                * 
              
             
          
                
                
                
                  
                    Select Your Answer 
                  
                    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. 
              
                * 
              
             
          
                
                
                
                  
                    Select Your Answer 
                  
                    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.
              
                * 
              
             
          
                
                
                
                  
                    Select Your Answer 
                  
                    Strongly Agree 
                  
                    Somewhat Agree 
                  
                    Neither Agree Nor Disagree 
                  
                    Somewhat Disagree 
                  
                    Strongly Disagree 
                  
                   
                 
              
            
            
            
            
            
            
            
        
          
          
            
            
            
            
            
            
            
            
            
            
            
            
            
              
                
            
              My case manager handled my requests professionally. 
              
                * 
              
             
          
                
                
                
                  
                    Select Your Answer 
                  
                    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.
              
                * 
              
             
          
                
                
                
                  
                    Select Your Answer 
                  
                    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.
              
                * 
              
             
          
                
                
                
                  
                    Select Your Answer 
                  
                    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?
              
                * 
              
             
          
                
                
                
                  
                    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?
              
                * 
              
             
          
                
                
                
                  
                    Select Your Answer 
                  
                    Strongly Agree 
                  
                    Somewhat Agree 
                  
                    Neither Agree Nor Disagree 
                  
                    Somewhat Disagree 
                  
                    Strongly Disagree 
                  
                   
                 
              
            
            
            
            
            
            
            
        
          
          
            
            
            
            
            
            
            
            
            
            
            
            
            
              
                
            
              Did you receive care from the on-campus nurse?
              
                * 
              
             
          
                
                
                
                  
                    Select Your Answer 
                  
                    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.
              
                * 
              
             
          
                
                
                
                  
                    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.
              
                * 
              
             
          
                
                
                
                  
                    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.
              
                * 
              
             
          
                
                
                
                  
                    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.
              
                * 
              
             
          
                
                
                
                  
                    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. 
              
                * 
              
             
          
                
                
                
                  
                    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.
              
                * 
              
             
          
                
                
                
                  
                    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.
              
                * 
              
             
          
                
                
                
                  
                    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.
              
                * 
              
             
          
                
                
                
                  
                    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.
              
                * 
              
             
          
                
                
                
                  
                    Select Your Answer 
                  
                    Strongly Agree 
                  
                    Somewhat Agree 
                  
                    Neither Agree Nor Disagree 
                  
                    Somewhat Disagree 
                  
                    Strongly Disagree 
                  
                    N/A 
                  
                   
                 
              
            
            
            
            
            
            
            
        
          
          
            
            
            
            
            
            
            
            
            
            
            
            
            
              
                
            
              My vocational instructor led lectures regularly.
              
                * 
              
             
          
                
                
                
                  
                    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.
              
                * 
              
             
          
                
                
                
                  
                    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.
              
                * 
              
             
          
                
                
                
                  
                    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.
              
                * 
              
             
          
                
                
                
                  
                    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.
              
                * 
              
             
          
                
                
                
                  
                    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.
              
                * 
              
             
          
                
                
                
                  
                    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.
              
                * 
              
             
          
                
                
                
                  
                    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.
              
                * 
              
             
          
                
                
                
                  
                    Select Your Answer 
                  
                    Strongly Agree 
                  
                    Somewhat Agree 
                  
                    Neither Agree Nor Disagree 
                  
                    Somewhat Disagree 
                  
                    Strongly Disagree 
                  
                    N/A 
                  
                   
                 
              
            
            
            
            
            
            
            
        
          
          
            
            
            
            
            
            
            
            
            
            
            
            
            
              
                
            
              I am familiar with indeed.com.
              
                * 
              
             
          
                
                
                
                  
                    Select Your Answer 
                  
                    Strongly Agree 
                  
                    Somewhat Agree 
                  
                    Neither Agree Nor Disagree 
                  
                    Somewhat Disagree 
                  
                    Strongly Disagree 
                  
                    N/A 
                  
                   
                 
              
            
            
            
            
            
            
            
        
          
          
            
            
            
            
            
            
            
            
            
            
            
            
            
              
                
            
              I am familiar with linkedin.com.
              
                * 
              
             
          
                
                
                
                  
                    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.
              
                * 
              
             
          
                
                
                
                  
                    Select Your Answer 
                  
                    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