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pdfVA_Surv10_VR&ESvc_5.17.16_v10 5/17/16 3:23 PM Page 1
Vocational Rehabilitation and
Employment Servicing
Satisfaction
MARKING INSTRUCTIONS
Please fill the response oval completely
and print clearly.
USE BLACK OR BLUE INK
(NO RED) to complete the survey.
CORRECT:
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INCORRECT:
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10
OMB Control No. 2900-0782
Throughout the questionnaire, you may be asked to skip certain questions that may not apply to you.
1.
2.
Benefit
Information
!
How did you FIRST learn about the VR&E benefit programs? (MARK ONLY ONE)
IF YOU ARE UNSURE, PLEASE INDICATE THE FIRST WAY YOU REMEMBER LEARNING ABOUT THE VR&E BENEFIT PROGRAMS.
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Online (e.g., eBenefits.va.gov, VA website, etc.)
Mail (from VA)
Veterans Service Organizations (e.g., Amer. Legion, DAV,
In person with a VA representative (e.g., VA medical center,
VFW, PVA, MOPH, etc.) (Please specify): _______________
VA Vet Center, Regional Office, TAP/DTAP briefing, etc.)
In person on a military installation (Integrated Disability
Examination System)
Other Veterans/Servicemembers
Friends or family
Other (Please specify): ______________________________________
Don’t know or not sure
In person on a campus (VetSuccess on Campus)
What method(s) do you MOST FREQUENTLY use to obtain general information about VA’s VR&E benefits or services? (MARK ALL THAT APPLY)
Online (e.g., eBenefits.va.gov, VA website, etc.)
Veterans Service Organizations (e.g., Amer. Legion, DAV,
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Phone
VFW, PVA, MOPH, etc.) (Please specify): __________________
Mail
E-mail
In person with a VA representative (e.g., VA medical center,
VA Vet Center, Regional Office, etc.)
In person on a campus (VetSuccess on Campus)
In person on a military installation (Integrated
Disability Examination System)
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Friends or family
____________________________________________________________
Other Veterans/Servicemembers
School
VR &E Office
Other (Please specify): _____________________________________
Don’t know or not sure
How frequently would you like to receive communications (e.g., e-mails, letters, newsletters, etc.) from VA about VR&E
benefits or services? (MARK ONLY ONE)
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Weekly
Monthly
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Quarterly (every 3 months)
Semi-annually (twice per year)
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Annually (once per year)
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Don’t know or not sure
Never
© 2016 J.D. Power and Associates. All Rights Reserved.
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VA_Surv10_VR&ESvc_5.17.16_v10 5/17/16 3:23 PM Page 2
Benefit Information (Continued)
4.
How would you like to receive information from VA about VR&E benefits or services? (MARK ALL THAT APPLY)
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Phone
Mail
E-mail
Online (e.g., eBenefits.va.gov, VA website, etc.)
Social media websites (e.g., Facebook, Twitter, etc.)
In person with a VA representative (e.g., VA medical center,
VA Vet Center, Regional Office, etc.)
In person on a campus (VetSuccess on Campus)
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In person on a military installation (Integrated
Disability Examination System)
Veterans Service Organizations (e.g., Amer. Legion, DAV,
VFW, PVA, MOPH, etc.) (Please specify): _________________
Other (Please specify): ____________________________________
Don’t know or not sure
___________________________________________________________
The following question asks you to rate various aspects of your experience with Vocational Rehabilitation and Employment,
using a scale of 1 to 10, where 1 is Unacceptable, 10 is Outstanding, and 5 is Average.
5.
When thinking about your most frequently used methods of communication, please rate your experience in obtaining
information about your VR&E benefit on the following items: (MARK ONLY ONE PER ROW)
Unacceptable
Average
Outstanding
1
a.
Ease of accessing information
b.
Availability of information
c.
Clarity of information
d.
Usefulness of information
e.
Frequency of information provided by VA
f.
Overall rating of information
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Benefit Entitlement
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Does/did your rehabilitation plan include an education or training phase? (MARK ONLY ONE)
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Yes
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No (SKIP TO Q9)
Don’t know or not sure (SKIP TO Q9)
Did you have the same counselor throughout your entire experience with VR&E? (MARK ONLY ONE)
Yes
No
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Don’t know or not sure
Not applicable
Were you given a time frame from VA for completing the education/training phase of your rehabilitation plan? (MARK ONLY ONE)
Yes
No
Don’t know or not sure
How many times in the past 6 months has a counseling appointment been cancelled or rescheduled by your counselor?
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Never been cancelled or rescheduled (SKIP TO Q11)
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# of Times
IF YOUR COUNSELING APPOINTMENT HAS BEEN CANCELLED OR RESCHEDULED BY YOUR COUNSELOR
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11.
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Don’t know or not sure (SKIP TO Q11)
1 OR MORE TIMES, PLEASE ANSWER Q10. OTHERWISE, PLEASE SKIP TO Q11.
If your counseling appointment was cancelled or rescheduled at least once, were you scheduled for a new appointment
without having to ask? (MARK ONLY ONE)
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Yes
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No
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Don’t know or not sure
Which of the following types of counseling or referrals has your counselor provided? (MARK ALL THAT APPLY)
Education/training enrollment assistance
Career counseling
Help with a personal issue
Financial counseling
Problem-solving techniques
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Referrals to employment agencies or job banks
Referrals to health providers (e.g., medical, dental, optical)
Referrals to other counseling programs
Referrals to Veterans Service Organizations (e.g., American Legion)
None of the above
Referrals to potential employers (e.g., government, private, etc.)
Did you utilize tele-counseling to speak to your counselor? (MARK ONLY ONE)
Yes
Don’t know what tele-counseling is or didn’t know it was available (SKIP TO Q14)
No (SKIP TO Q14)
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Don’t know or not sure (SKIP TO Q14)
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VA_Surv10_VR&ESvc_5.17.16_v10 5/17/16 3:23 PM Page 1
Benefit Entitlement (Continued)
13.
Please tell us how you feel about the following statement: “I felt tele-counseling was an effective way to speak to my
counselor.” Would you say you would…(MARK ONLY ONE PER ROW)
Strongly
Disagree
Disagree
Neutral
Agree
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Strongly
Agree
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The following question asks you to rate various aspects of your experience with Vocational Rehabilitation and Employment
(VR&E), using a scale of 1 to 10 where is 1 is Unacceptable, 10 is Outstanding, and 5 is Average.
PLEASE ANSWER THE FOLLOWING QUESTION BASED ON YOUR BEST ABILITY TO RECALL YOUR EXPERIENCE WITH YOUR VR&E COUNSELOR(S).
14.
Please rate your experience with VR&E counselors on the following items: (MARK ONLY ONE PER ROW)
Unacceptable
Average
1
a.
b.
c.
d.
e.
f.
15.
Promptness of scheduling appointments or returning calls
Courtesy of the counselor
Knowledge of the counselor
Counselor’s concern for your needs
Timeliness of completing your initial evaluation
Overall counselor experience
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Outstanding
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N/A
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NA
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Why did you give your overall experience with your counselor that rating?
__________________________________________________________________________________________________________
__________________________________________________________________________________________________________
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Which of the following benefits did you or will you receive as part of your rehabilitation plan? (MARK ALL THAT APPLY)
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Tuition
Subsistence allowance
Books/supplies
Health services (e.g., medical, dental, optical)
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Employment services (e.g., resume
Tutoring
preparation, interview skills, obtaining
Independent living services
licenses/certifications, etc.)
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Computer equipment/software
None of the above
Which of the following types of employment services did/will you receive as part of your rehabilitation plan? (MARK ALL THAT APPLY)
Resume preparation
Interview skills
Obtaining licenses/certifications
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Job hunting strategies
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Information interview with potential employers
None of the above
Job placement assistance
18.
Were you given a time frame from VA for completing your VR&E rehabilitation plan? (MARK ONLY ONE)
19.
How long was/is the time frame for completing your VR&E rehabilitation plan?
(PLEASE RESPOND USING ANY OR ALL OF THE FOLLOWING CATEGORIES)
20.
Were the amount of services you received as part of your VR&E program more than, less than, or what you expected? (MARK ONLY ONE)
Yes
!!
21.
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No (SKIP TO Q20)
# of Months
Less than
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Don’t know or not sure (SKIP TO Q20)
# of Years
What I expected
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Don’t know or not sure
More than
The following question asks you to rate various aspects of your experience with Vocational Rehabilitation and Employment,
using a scale of 1 to 10 where is 1 is Unacceptable, 10 is Outstanding, and 5 is Average.
Unacceptable
Average
Outstanding
Please rate your VR&E benefit (e.g., training and
1
2
3
4
5
6
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10
N/A
counseling) on the following items: (MARK ONLY ONE PER ROW)
NA
a. Amount of benefits
NA
b. Effectiveness of benefit/service in preparing and obtaining suitable employment
NA
c. Timeliness of receiving benefit payment
d. Overall rating of benefit payment
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© 2016 J.D. Power and Associates. All Rights Reserved. 10
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VA_Surv10_VR&ESvc_5.17.16_v10 5/17/16 3:23 PM Page 2
Overall Experience with Benefit Program
22.
Thinking about ALL aspects of your experience with Vocational Rehabilitation and Employment benefits, please rate VA
overall, using a scale of 1 to 10 where 1 is Unacceptable, 10 is Outstanding, and 5 is Average. (MARK ONLY ONE)
Unacceptable
Average
Outstanding
1
2
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5
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10
¡ ™ £ ¢ ∞ § ¶ • ª ‚
Overall Experience with VA
23.
Taking into consideration all of the non-medical benefits (e.g., education, compensation, pension, home loan guaranty,
vocational rehabilitation and employment, insurance, etc.) you have applied for or currently receive, please rate your
experience with VA overall, using a scale of 1 to 10 where 1 is Unacceptable, 10 is Outstanding, and 5 is Average.
(MARK ONLY ONE)
Unacceptable
Average
Outstanding
1
2
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5
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10
¡ ™ £ ¢ ∞ § ¶ • ª ‚
24.
Now think about your experiences with all the services provided by the Department of Veterans Affairs (which include
healthcare, benefits programs, or memorial services). Please tell us how you feel about the following statements.
(MARK ONLY ONE PER STATEMENT)
Strongly
Disagree
a.
b.
c.
d.
25.
Disagree
Neutral
Agree
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I got the service I needed
It was easy to get the service I needed
I felt like a valued customer
I trust VA to fulfill our country’s commitment to Veterans
Strongly
Agree
∞
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Do you have any other comments or concerns about your experience?
__________________________________________________________________________________________________________
__________________________________________________________________________________________________________
About You
26.
What is your current status in the Vocational Rehabilitation and Employment program? (MARK ONLY ONE)
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Completed program successfully
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Currently participating in program
VA initiated interruption in program
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VA initiated discontinuation
(withdrawal) from program
Voluntary interruption in program
Voluntary discontinuation
(withdrawal) from program
Prefer not to answer
PLEASE ANSWER Q27 IF YOU VOLUNTARILY INTERRUPTED OR WITHDREW FROM THE VR&E PROGRAM. OTHERWISE, PLEASE SKIP TO Q28.
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Why did you interrupt or withdraw from your rehabilitation program? (MARK ALL THAT APPLY)
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Medical difficulties
Financial difficulties
Family responsibilities
Found a job prior to program completion
Transportation difficulties
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Program did not meet needs
Program requirements were too difficult
VA initiated interruption/discontinuation
(withdrawal)
Problems with counselor
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Lost interest
To pursue another education benefit
(CH33, State Vocational Rehabilitation, etc.)
Other (Please specify): _________________
Don’t know or not sure
Do you plan to complete your rehabilitation program now or in the future? (MARK ONLY ONE)
Yes
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No
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Don’t know or not sure
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Prefer not to answer
At any point during the VR&E program, did you register for eBenefits or the Veterans Employment Center in eBenefits? (MARK ONLY ONE)
Yes (SKIP TO Q31)
No
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Don’t know or not sure (SKIP TO Q31)
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VA_Surv10_VR&ESvc_5.17.16_v10 5/17/16 3:23 PM Page 3
About You (Continued)
31.
Why didn’t you register for eBenefits or the Veterans Employment Center in eBenefits? (MARK ALL THAT APPLY)
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Not aware of eBenefits/Veterans Employment Center
Opted not to use eBenefits/Veterans Employment Center
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Yes
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No
Are you a... (MARK ONLY ONE)
33.
What is the format of the program you are enrolled in? (MARK ONLY ONE)
35.
Don’t know or not sure
Are you currently enrolled in a 2-year college (e.g., community college), 4-year college (e.g., university), Postgraduate
program, Technical or trade school, Flight school or On the job training program? (MARK ONLY ONE)
32.
34.
Other (Please specify): ______________________________________
Part-time student
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Full-time student
Not currently enrolled (SKIP TO Q36)
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Traditional (classes in classroom/school facility)
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Don’t know or not sure (SKIP TO Q36)
Mixed (classroom and online)
Online (classes on the Internet)
What type of degree/training program are you currently pursuing? (MARK ONLY ONE)
On-the-job training or apprenticeship
Certificate/license
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Technical or trade school
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Yes
Prefer not to answer
Associate degree
Bachelor’s degree
Master’s degree
Doctorate
What type of academic institution or training facility are you enrolled in? (MARK ONLY ONE)
2-year college (e.g., community college)
4-year college (e.g., university)
Postgraduate program
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Job training site
36.
Are you currently employed? (MARK ONLY ONE)
37.
PLEASE ANSWER Q37-Q38 IF YOU ANSWERED “YES” TO Q36
Which of the following were the three most important resources in obtaining your current job? (MARK TOP 3)
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VR&E Counselor/Contract Counselor
Employment Coordinator
Veterans Employment Center
in eBenefits
38.
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No
Flight school
Newspaper
Online job site
Recommendations of friends/family
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Other (Please specify):
_____________________
Other (Please specify): _________________
______________________________________
None of the above
School
Relative to when you began to receive Vocational Rehabilitation and Employment services, when did you obtain
employment? (MARK ONLY ONE)
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Prior to program completion
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After program completion
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Don’t know or not sure
© 2016 J.D. Power and Associates. All Rights Reserved.
THANK YOU FOR TAKING THE TIME TO PARTICIPATE IN THIS IMPORTANT STUDY.
Please return to: J.D. Power and Associates Survey Processing Center
P.O. Box 510030 • Livonia, MI 48151-9907
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VA_Surv10_VR&ESvc_5.17.16_v10 5/17/16 3:23 PM Page 4
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| File Type | application/pdf |
| File Title | Layout 1 |
| File Modified | 2016-05-17 |
| File Created | 2016-05-17 |