Human Support Services Committee Survey

 WorkAbility I Subcommittee

The Human Support Services (HSS) Committee needs your help to find out which services, materials, programs, and “Best Practices” work for you.  We’re looking for your “best of the best”.

1)      What helps your students achieve self-sufficiency/self-reliance immediately after leaving your program; and several years down the road.

To complete the survey below, please follow these basic directions: 

1)      Click “send” and complete the survey on-line OR

2)    You may print it out and fax it to LD Hirschklau at 408-354-4198 “attention ldh”.

THANK YOU FOR YOUR TIME

Please list curricula, materials and/or best practices that you are using with students:

Respondent Info: Name/Email Address, or Phone #

Program title/publisher:

Format of program (circle those that apply):            

Book/Workbook              Video/DVD    CD/Software    Individual/group Activity           Other:

Target Population (circle those that apply):     

Student Ability level: RSP              SDC          SH                ED                

Other:

     Age Group:      Frosh.      Soph.        Jr.    Sr.        Adult/Transition (18-22)

What is the skill development focus of Program? (circle those that apply):                                                                                                                                                         Study skills     Personal growth       Self-advocacy      

Self-reliance    Personal hygiene   Living Skills     

Social skills          Other:  

Have you found evidence that this program provides long-term self-reliance?  (e.g. beyond schooling?)   Yes      No.      Why or why not?                                           

What do you like about it?

How did you modify this program to fit your needs?