WOTC Employee Survey

WOTC Employee Survey
Initial Page

Thank you for logging into this survey. Our records show that (Name of company) hired you in

(month/year). The company qualified for a federal tax credit because they hired you. Now
we want to hear from you about how well that job worked out for you. We will send you a $10
gift card for taking the time to complete the survey. Please review the Frequently Asked
Questions to get more information about this survey and why we are asking you to complete
the survey. At the end of the survey, you will be asked to provide your contact information in
order for us to send you the gift card.
Burden Disclosure. Public reporting burden for this survey is estimated to average 20 minutes per
response. The burden estimate includes the time for reviewing instructions, searching existing data
sources, gathering and maintaining the data needed, and completing and submitting the survey.
This collection of information is voluntary. You are not required to respond to this collection of
information unless it displays a valid OMB control number. Please send comments regarding the
burden estimate or any other aspect of this collection of information to EconSys at
[email protected] and reference OMB control number [1290-0NEW].
Participation. Your participation in this survey is voluntary. Your decision to participate, or not, will
not have any impact on you or your employer. It is important that you do respond so that we get the
full picture of how you experienced this job. The survey will take around 20 minutes to complete.
Saving Responses. You can save your responses by selecting “Next” at the bottom of each page.
You do not need to complete the survey in one session. To return to your survey, simply click on
the link in the text or email you received that asked you to complete the survey.
Click "Next" to begin the survey.

Question about your job

Questions about your job
This set of questions relates to your employment at (COMPANY) with that began on
(MONTH/YEAR) . Please answer the following questions to the best of your knowledge.

1. Do you remember working this job?
Yes
No

Page entry logic:
This page will show when: #1 Question "Do you remember working this job?" is one of the
following answers ("Yes")

Show/hide trigger exists.

2. Was this your first job where you earned money?
Yes
No

Hidden unless: #2 Question "Was this your first job where you earned money?" is one
of the following answers ("No")

3. What was your job before working for (Insert Company)?
I was working in the same type of job, but at another company.
I was working in a similar job at another company
I was working in a different job in a different company (Please describe
that job, required answer)

Show/hide trigger exists.

4. Did you get the job with assistance of any of the following: (Select all that apply.)
American Job Center (AJC) or One-Stop
Supplemental Nutrition Assistance Program (SNAP) Employment and
Training Program
Another organization in your community that helps people find jobs
Job fair
Temp agency
Other - Write In (Required)
*
No, I applied for this position on my own

Show/hide trigger exists. Hidden unless: #4 Question "Did you get the job with assistance
of any of the following: (Select all that apply.)" is one of the following answers ("American Job
Center (AJC) or One-Stop","Supplemental Nutrition Assistance Program (SNAP)
Employment and Training Program","Another organization in your community that helps
people find jobs","Job fair","Temp agency","Other - Write In (Required)")

5. Before you were hired for this position, did this/these organization(s) help you prepare for this
job, or help you to find this job? (Select all that apply.)

Yes, they trained me or paid for training or certification so I could do this
job.
Yes, they helped me prepare a resume.
Yes, they helped me complete the application for the job.
Yes, they taught me job interview skills.
Yes, they taught me how to dress when going to a job interview.
Yes, they recommended that I apply specifically for this job.
Yes, they helped me pay for child/dependent care so I could work.
Yes, they helped me pay for transportation to work.
No, I did not get any help in preparing for or finding this job.

Hidden unless: #5 Question "Before you were hired for this position, did this/these
organization(s) help you prepare for this job, or help you to find this job? (Select all that apply.)" is
one of the following answers ("Yes, they trained me or paid for training or certification so I
could do this job.","Yes, they helped me prepare a resume.","Yes, they helped me complete
the application for the job.","Yes, they taught me job interview skills.","Yes, they taught me
how to dress when going to a job interview.","Yes, they recommended that I apply
specifically for this job.","Yes, they helped me pay for child/dependent care so I could
work.","Yes, they helped me pay for transportation to work.")

6. How satisfied were you with the assistance you got?
Satisfied
Neutral
Not Satisfied

7. When hired for this position by (Insert Company), were you paid an annual
salary or an hourly wage and what was that wage?
Annual
Salary
Hourly Wage

8. On average, how many hours per week did you work in this position to
start?
Hours per week

9. Please answer for each item below how work was assigned outside of working hours for your
position (Select all that apply.):

My job
required
this.
Working nights
Working weekends
Working holidays
Working overtime

I was able
to volunteer
to work
during this
time.

I was
pressured
to work
during
these
times.

This job
did not
operate
during
these
times.

10. Do/did you get paid extra when you worked:
Nights
Weekends
Holidays
Overtime
None of the above

11. Do/did your hours or days worked in this position fluctuate (change
regularly)?
Yes
No

12. Was this position regular (permanent), temporary, or seasonal?
Regular (permanent)
Temporary
Seasonal

Show/hide trigger exists.

13. Was this position part- or full-time?
Part-time
Full-time (30 hours per week or more)

Hidden unless: #13 Question "Was this position part- or full-time?" is one of the
following answers ("Part-time")

14. What reason(s) led to deciding to work part-time? (Select all that apply.)
I can only work while the children are in school.
I am taking classes so I can’t work full-time.
I would lose other benefits (like unemployment, Medicaid, or SNAP, for
example) if working full-time.
That is all the company offered.
This job provides me with the training I need to eventually get a full-time
position.
I have other family/life obligations that only allow me to work part-time.
Other - Write In (Required)

Show/hide trigger exists.

15. Did you receive training that taught you how to do this job?
Yes
No

Hidden unless: #15 Question "Did you receive training that taught you how to do this
job?" is one of the following answers ("Yes")

16. Please select the option that best describes the training you received:
Formal training program (such as classroom, structured videos, etc.).
Peer-to-peer training (job shadowing, working closely with a peer).
A mix of peer-to-peer and formal training.

Hidden unless: #15 Question "Did you receive training that taught you how to do this
job?" is one of the following answers ("Yes")

17. How long did the training last?
1-2 days
3-5 days
6-10 days
Over 10 days

Hidden unless: #15 Question "Did you receive training that taught you how to do this
job?" is one of the following answers ("Yes")

18. How well did this training prepare you to fulfill your job requirements
independently?
Not at all
Somewhat
Very well

Hidden unless: #15 Question "Did you receive training that taught you how to do this
job?" is one of the following answers ("Yes")

19. How long after training did you feel that you were able to do the job well?
As soon as training ended
1-2 weeks later
3 weeks later
4 weeks later
4 – 6 weeks later
More than 6 weeks later
I never felt I was able to do the job well

Page entry logic:
This page will show when: #1 Question "Do you remember working this job?" is one of the
following answers ("Yes")

20. Did you receive any of the following benefits in addition to your base
wages earned from this job? (Select all that apply.)
Health insurance
Paid vacation
Paid sick leave
Paid holidays
Flexible work schedule
Remote work
Childcare subsidy
Retirement account (such as a 401k or 403b)
Tuition reimbursement (reimbursement of tuition costs for additional
learning, aid with student loans, etc.)
Transportation assistance/reimbursement (such as a bus pass or
assistance with parking costs)
Other benefits - please specify (Required)
*

21. How long does/did it take you to get to work when working for (Insert
Company)? (If you worked remotely, enter 0.)
Minutes

22. How do/did you get to this job? (Select the main method of
transportation.)
Drive alone.
Ride with others in a carpool.
Family member takes/took me to work.
Public transportation.
Walk, bicycle, or scooter.
Worked from home
Other - Please specify (Required)

23. In the past 30 days how often did you feel bad because you did not have
the transportation you needed?
Often
Sometimes
Never

24. Was this a union job?
Yes
No
Don't know

25. Were you required to sign any of the following agreements before
beginning work? (Select all that apply.)
Forced arbitration agreement.
Non-compete agreement
No agreements were signed
Don't know

26. Did you encounter any unsafe workplace hazards while working in this
position?
Yes
No

27. Did you face discrimination during your employment with this organization?
Yes
No

28. How satisfied were you with the following aspects of this job?

Very
Dissatisfied

Dissatisfied

Neither
Satisfied
nor
Dissatisfied

Very
Not
Satisfied Satisfied applicable

The overall
job
Training you
received by
the employer
Salary/hourly
wage
Schedule or
hours/days
you had to
work
Total hours
worked per
week
Benefits
How long
you had the
job

29. Do/did you feel valued by your employer working at this job?
Yes
No

30. Does/did this job provide: (Select all that apply.)
Opportunity for a promotion.
Opportunity for a pay raise.
Skills that can prepare you to get a better job.
None of the above

(untitled)

31. Are you working now?
Yes
No

Page entry logic:
This page will show when: #31 Question "Are you working now?" is one of the following
answers ("Yes")

32. Do you still work for this company?
Yes
No

Page entry logic:
This page will show when: (#31 Question "Are you working now?" is one of the following
answers ("No") OR #32 Question "Do you still work for this company?" is one of the following
answers ("No"))

Show/hide trigger exists.

33. Why do you no longer work for this company?
Fired.
Company layoffs.
My position was short term.
I chose to leave.

Hidden unless: #33 Question "Why do you no longer work for this company?" is one of
the following answers ("I chose to leave.")

34. What were your reasons for leaving the job? (Select all that apply.)
Found a better job.
Job did not match my skillset.
Job wage or salary did not meet my needs.
Job hours or schedule did not meet my needs.
Job did not provide adequate benefits.
Job was stressful.
I just didn’t like the job.
Transportation or commute issues.
Child care issues.
Personal health issues not related to the workplace.
Other - Please Specify (Required)

35. Approximately how long did you work for the company? (Fill out either
weeks or months.)
Weeks
Months

Page entry logic:
This page will show when: #32 Question "Do you still work for this company?" is one of the
following answers ("No")

36. What kind of work do you do now?
I am currently working in the same job.
I am working in a similar job.
I work a different job - please describe your current job (Required)

37. How much do you make at your current job?
Annual
Salary
Hourly Wage

38. Approximately how long have you worked in your current position? (Fill
out either weeks or months.)
Weeks
Months

39. How many hours per week do you work at your current
job?
Hours per week

Page entry logic:
This page will show when: #32 Question "Do you still work for this company?" is one of the
following answers ("Yes")

40. Have you received a pay raise since you began working for this company?
Yes
No

41. What is your current annual salary or hourly wage?
Annual
Salary
Hourly Wage

42. How many hours per week do you work in your current
job?
Hours per
week

Show/hide trigger exists.

43. Do you plan to stay at this company for the next 6 months?
Yes
No

Hidden unless: #43 Question "Do you plan to stay at this company for the next 6
months?" is one of the following answers ("No")

44. What are the primary reasons you are planning to leave the company?
(Select all that apply.)
Found a better job.
Job did not match my skillset.
Job wage or salary did not meet my needs.
Job hours or schedule did not meet my needs.
Job did not provide adequate benefits.
Job was stressful.
I just didn’t like the job.
Transportation or commute issues.
Child care issues.
Health issues.
Other - Please Specify (Required)

(untitled)

We now want to ask you about the questions you were asked during your job interview
for your employment with INSERT COMPANY that began on INSERT DATE. Please
answer the following questions to the best of your knowledge.

Show/hide trigger exists.

45. Do you recall your employer asking you at the interview if you fit into any
of these groups? (Select all that apply.)
Are you between the ages of 16 and 25?
Are you a Veteran?
Did you receive Food Stamps/SNAP for a period of 3 months in the last
15 months?
Are you a member of a family that has received TANF benefits for any of
the last 9 months?
In the past year have you been convicted of a felony or released from
prison after a felony conviction?
Do you live in a Federal Empowerment Zone or Enterprise Community?
Have you received rehabilitation services through a State Rehabilitation
Service or Veterans’ Administration?
Don’t Recall

Hidden unless: #45 Question "Do you recall your employer asking you at the interview
if you fit into any of these groups? (Select all that apply.)" is one of the following answers
("Are you between the ages of 16 and 25?","Are you a Veteran?","Did you receive Food
Stamps/SNAP for a period of 3 months in the last 15 months?","Are you a member of a family
that has received TANF benefits for any of the last 9 months?","In the past year have you
been convicted of a felony or released from prison after a felony conviction?","Do you live in a
Federal Empowerment Zone or Enterprise Community?","Have you received rehabilitation
services through a State Rehabilitation Service or Veterans’ Administration?")

46. How comfortable were you about answering these questions?
Very uncomfortable
Uncomfortable
Neutral
Comfortable
Very comfortable

Hidden unless: #45 Question "Do you recall your employer asking you at the interview
if you fit into any of these groups? (Select all that apply.)" is one of the following answers
("Are you between the ages of 16 and 25?","Are you a Veteran?","Did you receive Food
Stamps/SNAP for a period of 3 months in the last 15 months?","Are you a member of a family
that has received TANF benefits for any of the last 9 months?","In the past year have you
been convicted of a felony or released from prison after a felony conviction?","Do you live in a
Federal Empowerment Zone or Enterprise Community?","Have you received rehabilitation
services through a State Rehabilitation Service or Veterans’ Administration?")

47. Did the person interviewing you ask you to provide any documentation
about the questions asked?
Yes
No
Don't Recall

Show/hide trigger exists. Hidden unless: #45 Question "Do you recall your employer
asking you at the interview if you fit into any of these groups? (Select all that apply.)" is one
of the following answers ("Are you between the ages of 16 and 25?","Are you a
Veteran?","Did you receive Food Stamps/SNAP for a period of 3 months in the last 15
months?","Are you a member of a family that has received TANF benefits for any of the last 9
months?","In the past year have you been convicted of a felony or released from prison after
a felony conviction?","Do you live in a Federal Empowerment Zone or Enterprise
Community?","Have you received rehabilitation services through a State Rehabilitation
Service or Veterans’ Administration?")

48. Did the company’s representative ask you to sign a document to give the
company permission to get the documentation about the questions asked?
Yes
No
Don't Recall

Hidden unless: #48 Question "Did the company’s representative ask you to sign a
document to give the company permission to get the documentation about the questions
asked?" is one of the following answers ("Yes")

49. Did the company’s representative ask you to sign a document to give the
company permission to get the documentation about the questions asked?
Very uncomfortable
Uncomfortable
Neutral
Comfortable
Very comfortable

50. Do you know anyone else who was interested in this job but lost interest
because they were turned off by the questions asked about the groups they fit
into or providing documentation?
Yes
No
Not Sure

51. Is there anything else you want to tell us about the job you worked for
NAME OF COMPANY?

Questions About You

52. How old are you?
Under 18 years old
18-24 years old
25-34 years old
35-44 years old
45-54 years old
Over 54 years old

53. What is the highest degree or level of school you have completed?
Less than a high school degree
Regular high school diploma
GED or alternative credential
Some college credit, but less than 1 year of college
1 or more years of college credit, no degree
Associate’s degree (for example: AA, AS)
Bachelor’s degree (for example: BA, BS)
Master’s degree (for example: MA, MS, MEng, MEd, MSW, MBA)
Professional degree beyond bachelor’s degree (for example: MD, DDS,
DVM, LLB, JD)
Doctorate degree (for example, PhD, EdD)

54. Are you: (Select all that apply)
Female
Male
Transgender, non-binary, or another gender
Prefer not to answer

55. Are you Hispanic or Latino? (A person of Cuban, Mexican, Puerto Rican,
South or Central American, or other Spanish culture or origin, regardless of
race.)
Yes
No

56. What is your race and/or ethnicity? (Select all that apply.)
American Indian or Alaska Native – For example, Navajo Nation,
Blackfeet Tribe of the Blackfeet Indian Reservation of Montana, Native
Village of Barrow Inupiat Traditional Government, Nome Eskimo
Community, Aztec, Maya, etc.
Asian – For example, Chinese, Asian Indian, Filipino, Vietnamese,
Korean, Japanese, etc.
Black or African American – For example, African American, Jamaican,
Haitian, Nigerian, Ethiopian, Somali, etc.
Hispanic or Latino – For example, Mexican, Cuban, Puerto Rican,
Salvadoran, Dominican, Guatemalan, etc.
Middle Eastern or North African – For example, Lebanese, Iranian,
Egyptian, Syrian, Iraqi, Israeli, etc.
Native Hawaiian or Pacific Islander – For example, Native Hawaiian,
Samoan, Chamorro, Tongan, Fijian, Marshallese, etc.
White – For example, English, German, Irish, Italian, Polish, Scottish, etc.
Prefer not to answer

57. Is English your first language?
Yes
No

58. What is your marital status?
Single, never married
Married or living with a partner
Separated
Divorced
Widowed
Prefer not to answer

59. Are you a parent or have you served in a parenting role (including both your own biological
children and other children for whom you have parenting responsibilities)?

Yes
No
Prefer not to answer

60. Counting yourself and all members of your household, how many people
live in your household?

61. Including yourself, how many people in your household are
employed?

62. How many children live in your household (including both your own
biological children and other children for whom you have parenting
responsibilities)?
Under 5 years old (Required)
*
Age 5 through 12 years old (Required)
*
Age 13 through 18 years old (Required)
*
Age 19 through 26 years old (Required)
*
27+ years old (Required)
*
Prefer not to answer

63. What is your current living situation?
Rent an apartment, house, or room.
Own an apartment or house.
Live with a friend or relative and not paying rent.
Live in a dormitory at school.
Live in a medical or assisted living facility, such as a hospital or rehab
center.
Live in transitional housing (e.g., a halfway house).
Live in a car, on the street, or in a homeless shelter.
Somewhere else - Specify (Required)

Prefer not to answer

64. In the past 12 months, was there a rent or mortgage increase that made it
difficult to pay?
Yes
No

65. In the past 12 months, did you not pay or underpay your rent or mortgage?
Yes
No

66. In the past 12 months, did you not pay the full amount of a gas, oil, or
electricity bill?
Yes
No

67. Are you currently enrolled in any education and/or training programs?
(Select all that apply.)
Education at a college or university, full-time
Education at a college or university, part-time
Technical or vocational training/obtain license or certificate, full-time
Technical or vocational training/obtain license or certificate, part-time
Apprenticeship
Other - Specify (Required)
*

68. Do you have a physical or mental impairment or serious health condition
that substantially limits one or more of your major life activities?
Yes
No

Thank You!

Thank you for taking our survey. Your response is very important to us.