2. Thank you for visiting our OhioMeansJobs center today.  Please help us improve our service to you by completing this survey.

4. How did you hear about us?

   1. Referred by a caseworker
   2. Referred by a business / employer
   3. Unemployment
   4. Referred by a friend

   1. Social Media
   2. Court
   3. Other
6. What is your employment status?

   1. Employed

   1. Unemployed
8. What is your employment status?

   1. Training / Tuition Assistance
   2. Resume Assistance
   3. OhioMeansJobs Online Assistance
   4. Resource Room Services (computer, fax, phone, copier)
   5. Youth Services

   1. Prevention, Retention and Contingency Services
   2. Opportunities for Ohioans with Disabilities
   3. Unemployment Assistance
   4. Training workshop
   5. Job Leads/ Job Search

   1. Day Care Assistance
   2. Transportation Assistance
   3. Open Interviews
   4. OWF / Food Assistance / Medical
   5. NOCAC (Northwestern Ohio Community Action Commission)
10. Please rate the service you received in the following areas:
12. Helpfulness

    1. Satisfied

    1. Neutral

    1. Dissatisfied
14. Responsiveness

    1. Satisfied

    1. Neutral

    1. Dissatisfied
16. Professionalism

    1. Satisfied

    1. Neutral

    1. Dissatisfied
18. Value

    1. Satisfied

    1. Neutral

    1. Dissatisfied
20. Staff Understands my needs

    1. Satisfied

    1. Neutral

    1. Dissatisfied
22. Are you satisfied with the knowledge of the staff assisting you?

    1. Satisfied

    1. Neutral

    1. Dissatisfied
24. How satisfied are you with the resource room (availability of computers, quality of brochures, equipment, etc.)?

    1. Satisfied

    1. Neutral

    1. Dissatisfied
26. How satisfied are you with your OhioMeansJobs center’s accessibility (hours, parking, location, etc.)?

    1. Satisfied

    1. Neutral

    1. Dissatisfied
28. Please rate your overall satisfaction with our OMJ center:

    1. Satisfied

    1. Neutral

    1. Dissatisfied
30. Comments
32. Provide your information if you would like someone to contact you about your visit.
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36. 1. Receive an email copy of this form.
37. Email address

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38. Submit

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