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Appendix: Dislocated Worker Survey

Worker Profile

1. Which career center are you at right now? 2. What is your gender? 3. What is your age? 4. Which county do you live in? 5. What is your highest education level completed? 6. Are you the primary wage earner of your household? 7. How many people depend on your income, including yourself? 8. Are you currently covered by health insurance?

Past Employment

9. What was the industry you were employed in? 10. What is the name of your last employer? 11. In what city and county was your last employer located? 12. How long did you work for your last employer? 13. What was your job title? 14. How long has it been since you separated from your last employer? 15. At the time of your separation, what was your hourly wage? 16. What was the reason for your separation?

a. Plant or company closed down or moved b. Insufficient work c. Position or shift abolished d. Seasonal job completed e. Self operated business failed

17. At the time of separation, did your employer provide any of the following?

a. Advance notice about the dismissal b. Option to stay with the company and relocate c. Option to do a different job in the same company d. Option to stay on with reduced pay/benefits e. Severance pay f. Career counseling g. Information or referral to career services

Job Search Process

18. How long do you anticipate to remain without work? 19. Do you participate in GO! Network and/or BounceBack St. Louis? 20. Which of the following challenges do you think you may face in getting a new job?

a. The lack of jobs in my field b. Finding a job at current wages / benefits c. Being under-qualified by education d. Being over-qualified by education e. A lack of computer skills f. Technical skills that are not current g. Lack of English language skills h. Barrier of age i. Difficulty relocating j. Mental health conditions k. Physical limitations l. Lake of child or dependent care

21. Since you have been out of work, which of the following are you willing to do now?

a. Seek employment in my current field b. Seek employment in a new field c. Update math, reading or writing skills d. Enroll in a course to upgrade skills e. Seek training in a new field f. Start a business g. Retire h. Attend school, work part-time i. Volunteering at local community organizations

22. Are you willing to relocate? 23. How many miles are you willing to commute one-way to work? 24. Which of the following services would be most helpful in getting the job you want?

a. Job search skills b. Job leads/job placement c. Job search tips from experienced workers d. Resume writing assistance e. Interviewing skills f. Career counseling g. Testing to determine job interests and skills h. Vocational rehabilitation i. Relocation assistance j. Transportation assistance (while looking for work or in school) k. Dependent care assistance (while looking for work or in school) l. License / certification renewal m. Training in high demand occupations

25. What kind of training are you interested in receiving?

a. Adult basic education (reading, writing, math) b. High school equivalency testing (GED) c. English (speaking, reading, writing) d. Computer classes i. Basic (computer skills, email, internet) ii. Intermediate (word processing, spreadsheets) iii. Advanced (multimedia, specific software) e. Completing a degree i. In current field ii. Another field f. Short term (less than one year) g. Long term (one year or more ) h. Training to update current job skills (short term 2-8 weeks) i. Training in a new job skill (short term 2-8 weeks) j. Training in how to start a business (short term 2-8 weeks)

26. What are some of the barriers preventing you from committing to a long term educational program?

a. Need to earn wages to support self and family b. Cannot afford to pay for the program c. Lack of access to child care/dependent care d. Lack of transportation to get to a facility e. Physical limitations f. Unable to meet admission criteria g. Lack of a training/education program in my area