Survey of Businesses that Employ People with Disabilities
Section A: QUESTIONS ABOUT YOUR ORGANIZATION
Instructions: Please fill in the blank with your best answer or place a check mark in the box beside your answer(s).
1) What type of business is your organization?
Federal government
State government
Local government
Public corporation/organization
Private corporation/organization
Non-profit corporation/organization
Other
2) Please indicate the types of occupational activities within your organization:
Professional and Technical Occupations
(i.e. accountant, engineer, architect, computer or mathematical technician, lawyer, legal aide, economist, psychologist, social worker, recreation worker, teacher, counselor, clergy, doctor, visual artist, designer, actor, athlete)
Marketing and Sales Occupations
(i.e. cashier, product promoter, model, insurance agent, sales representative, real estate agent, financial service representative, travel agent)
Administrative Support Occupations, Including Clerical
(i.e. adjuster, bank teller, computer operator, court reporter, receptionist, loan clerk, mail clerk, messenger, dispatcher, stock clerk, billing clerk, office manager, library assistant, secretary, teacher assistant, word processor, law clerk)
Service Occupation
(i.e. cleaner/janitor, groundskeeper, pest controller, dental assistant, barber, flight attendant, home health or personal aide, child care worker, veterinary assistant, stay at home parent, police officer, guard)
Construction and Maintenance
(i.e. auto
service, carpenter, construction labor, electrician, maintenance worker, industrial machine mechanic)
Production, Transportation, and Material Moving Occupations
(i.e. machine operator, setter, painter, tool operators, tool and die, production worker, welder, freight mover, truck driver, bus driver)
Other
3) What is your position within your organization?
Position:
4) How many people does your organization employ?
# Employees:
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