Do you know what the role of the Village Community Services consultant/job coach is?

Yes                     No  

Are you aware that there is an open line for communication
in case your placed employee needs support?

Yes                     No

Does the consultant/job coach return your calls or email in a timely manner?

Yes                     No

Are you pleased with the employee that has been placed with you?

Yes                     No

On a scale of 1 to 10 (1 = Low/10 = High):

Overall, how satisfied are you with the services provided by Village Community Services?

Select 10 (Completely Satisfied) 9 8 7 6 5 4 3 2 1 (Not Satisfied)

Comments:

Optional: You may include your name and/or business name below.

Your First Name                              Your Last Name

Your company/business name

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