www.surveymonkey.com
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Submitted URL: https://skwdxkrab.cc.rs6.net/tn.jsp?f=001w0n-EbafcsNXsLoE_ZbBe2VHV7NciKJbOAS-g-qvzE9VeHGj9aleogp6GiKlrtowGbc3dHHB4vqaOaxwJ7bs...
Effective URL: https://www.surveymonkey.com/r/B7PPKZR
Submission: On March 25 via manual from US — Scanned from US
Effective URL: https://www.surveymonkey.com/r/B7PPKZR
Submission: On March 25 via manual from US — Scanned from US
Form analysis
1 forms found in the DOMName: surveyForm — POST
<form name="surveyForm" action="" method="post" enctype="multipart/form-data" novalidate="" data-survey-page-form="">
<div class="questions clearfix">
<div class="question-row clearfix
">
<div data-question-type="open_ended_multi" data-rq-question-type="open_ended_multi" class="question-container
">
<div id="question-field-177056617" data-qnumber="1" data-qdispnumber="1" data-question-id="177056617" class=" question-open-ended-multi qn question multi" style="width:100%;
">
<h3 class="screenreader-only">Question Title</h3>
<div class="text-input-group question-fieldset question-legend">
<h4 id="question-title-177056617" class=" question-title-container ">
<span class="required-asterisk notranslate"> * </span>
<span class="question-number notranslate"> 1<span class="question-dot">.</span>
</span>
<span class="user-generated notranslate
"> We kindly ask that you provide us with your name and contact information, should you feel comfortable doing so. WE WILL NOT share this feedback with your agency coworkers or your assigned project manager. If you identify anything
you feel could be improved and you have provided your contact info, our Client Satisfaction Representative will reach out to you directly to formulate a plan that will address your concerns.</span>
</h4>
<div class="question-body clearfix notranslate ">
<div class="text-input-container clearfix">
<label class="question-body-font-theme answer-label user-generated " for="177056617_1286341832" style="width:20%;"> Name: </label><input id="177056617_1286341832" name="177056617_1286341832" type="text" class="text" maxlength="20000"
size="50" data-sm-open-single="">
</div>
<div class="text-input-container clearfix">
<label class="question-body-font-theme answer-label user-generated " for="177056617_1286341833" style="width:20%;"> Title: </label><input id="177056617_1286341833" name="177056617_1286341833" type="text" class="text" maxlength="20000"
size="50" data-sm-open-single="">
</div>
<div class="text-input-container clearfix">
<label class="question-body-font-theme answer-label user-generated " for="177056617_1286341834" style="width:20%;"> Email: </label><input id="177056617_1286341834" name="177056617_1286341834" type="text" class="text" maxlength="20000"
size="50" data-sm-open-single="">
</div>
<div class="text-input-container clearfix">
<label class="question-body-font-theme answer-label user-generated " for="177056617_1286341835" style="width:20%;"> Phone: </label><input id="177056617_1286341835" name="177056617_1286341835" type="text" class="text" maxlength="20000"
size="50" data-sm-open-single="">
</div>
</div>
</div>
</div>
</div>
</div>
<div class="question-row clearfix
">
<div data-question-type="open_ended_single" data-rq-question-type="open_ended" class="question-container
">
<div id="question-field-177056618" data-qnumber="2" data-qdispnumber="2" data-question-id="177056618" class=" question-open-ended-single qn question single question-required">
<h3 class="screenreader-only">Question Title</h3>
<div class=" question-fieldset question-legend">
<h4 id="question-title-177056618" class=" question-title-container ">
<span class="required-asterisk notranslate"> * </span>
<span class="question-number notranslate"> 2<span class="question-dot">.</span>
</span>
<span class="user-generated notranslate
"> Agency Name:</span>
</h4>
<div class="question-body clearfix notranslate ">
<div id="open-ended-single_177056618" data-question-id="177056618" data-response="" data-sm-open-single="" maxlength="20000" data-ng="true" data-required="true" data-size="50" data-labeledby="question-title-177056618">
<div class="question-body open-ended-single"><input aria-labelledby="question-title-177056618" id="177056618" aria-required="true" data-sm-open-single="true" maxlength="20000" class="wds-input wds-input--lg qt-input_text text"
name="177056618" size="50" value=""></div>
</div>
</div>
</div>
</div>
</div>
</div>
<div class="question-row clearfix
">
<div data-question-type="multiple_choice_vertical_three_col" data-rq-question-type="multiple_choice_vertical_three_col" class="question-container
">
<div id="question-field-177056620" data-qnumber="3" data-qdispnumber="3" data-question-id="177056620" class=" question-multiple-choice qn question vertical_three_col question-required" style="width:100%;
">
<h3 class="screenreader-only">Question Title</h3>
<fieldset class=" question-fieldset">
<legend class="question-legend">
<h4 id="question-title-177056620" class="
question-title-container ">
<span class="required-asterisk notranslate"> * </span>
<span class="question-number notranslate"> 3<span class="question-dot">.</span>
</span>
<span class="user-generated notranslate
"> What is your role in the organization? (select all that apply)</span>
</h4>
</legend>
<div class="question-body clearfix notranslate ">
<div class="answer-option-col
answer-option-col-3">
<div class="answer-option-cell
" data-answer-id="1286341867">
<div data-sm-checkbox="" class="checkbox-button-container ">
<input id="177056620_1286341867" name="177056620[]" type="checkbox" class="checkbox-button-input " value="1286341867">
<label class="answer-label checkbox-button-label no-touch touch-sensitive clearfix" for="177056620_1286341867">
<span class="checkbox-button-display ">
</span>
<span class="checkbox-button-label-text question-body-font-theme user-generated "> Case Manager </span>
</label>
</div>
</div>
<div class="answer-option-cell
" data-answer-id="1286341868">
<div data-sm-checkbox="" class="checkbox-button-container ">
<input id="177056620_1286341868" name="177056620[]" type="checkbox" class="checkbox-button-input " value="1286341868">
<label class="answer-label checkbox-button-label no-touch touch-sensitive clearfix" for="177056620_1286341868">
<span class="checkbox-button-display ">
</span>
<span class="checkbox-button-label-text question-body-font-theme user-generated "> Job Seeker Services </span>
</label>
</div>
</div>
<div class="answer-option-cell
" data-answer-id="1286341869">
<div data-sm-checkbox="" class="checkbox-button-container ">
<input id="177056620_1286341869" name="177056620[]" type="checkbox" class="checkbox-button-input " value="1286341869">
<label class="answer-label checkbox-button-label no-touch touch-sensitive clearfix" for="177056620_1286341869">
<span class="checkbox-button-display ">
</span>
<span class="checkbox-button-label-text question-body-font-theme user-generated "> Employer Services </span>
</label>
</div>
</div>
<div class="answer-option-cell
" data-answer-id="1286341870">
<div data-sm-checkbox="" class="checkbox-button-container ">
<input id="177056620_1286341870" name="177056620[]" type="checkbox" class="checkbox-button-input " value="1286341870">
<label class="answer-label checkbox-button-label no-touch touch-sensitive clearfix" for="177056620_1286341870">
<span class="checkbox-button-display ">
</span>
<span class="checkbox-button-label-text question-body-font-theme user-generated "> LMI Analyst </span>
</label>
</div>
</div>
<div class="answer-option-cell
" data-answer-id="1286341871">
<div data-sm-checkbox="" class="checkbox-button-container ">
<input id="177056620_1286341871" name="177056620[]" type="checkbox" class="checkbox-button-input " value="1286341871">
<label class="answer-label checkbox-button-label no-touch touch-sensitive clearfix" for="177056620_1286341871">
<span class="checkbox-button-display ">
</span>
<span class="checkbox-button-label-text question-body-font-theme user-generated "> Job Developer </span>
</label>
</div>
</div>
<div class="answer-option-cell
" data-answer-id="1286341872">
<div data-sm-checkbox="" class="checkbox-button-container ">
<input id="177056620_1286341872" name="177056620[]" type="checkbox" class="checkbox-button-input " value="1286341872">
<label class="answer-label checkbox-button-label no-touch touch-sensitive clearfix" for="177056620_1286341872">
<span class="checkbox-button-display ">
</span>
<span class="checkbox-button-label-text question-body-font-theme user-generated "> Claim Intake </span>
</label>
</div>
</div>
<div class="answer-option-cell
" data-answer-id="1286341873">
<div data-sm-checkbox="" class="checkbox-button-container ">
<input id="177056620_1286341873" name="177056620[]" type="checkbox" class="checkbox-button-input " value="1286341873">
<label class="answer-label checkbox-button-label no-touch touch-sensitive clearfix" for="177056620_1286341873">
<span class="checkbox-button-display ">
</span>
<span class="checkbox-button-label-text question-body-font-theme user-generated "> Call Center </span>
</label>
</div>
</div>
</div>
<div class="answer-option-col
answer-option-col-3">
<div class="answer-option-cell
" data-answer-id="1286341874">
<div data-sm-checkbox="" class="checkbox-button-container ">
<input id="177056620_1286341874" name="177056620[]" type="checkbox" class="checkbox-button-input " value="1286341874">
<label class="answer-label checkbox-button-label no-touch touch-sensitive clearfix" for="177056620_1286341874">
<span class="checkbox-button-display ">
</span>
<span class="checkbox-button-label-text question-body-font-theme user-generated "> Appeals </span>
</label>
</div>
</div>
<div class="answer-option-cell
" data-answer-id="1286341875">
<div data-sm-checkbox="" class="checkbox-button-container ">
<input id="177056620_1286341875" name="177056620[]" type="checkbox" class="checkbox-button-input " value="1286341875">
<label class="answer-label checkbox-button-label no-touch touch-sensitive clearfix" for="177056620_1286341875">
<span class="checkbox-button-display ">
</span>
<span class="checkbox-button-label-text question-body-font-theme user-generated "> Adjudicator </span>
</label>
</div>
</div>
<div class="answer-option-cell
" data-answer-id="1286341876">
<div data-sm-checkbox="" class="checkbox-button-container ">
<input id="177056620_1286341876" name="177056620[]" type="checkbox" class="checkbox-button-input " value="1286341876">
<label class="answer-label checkbox-button-label no-touch touch-sensitive clearfix" for="177056620_1286341876">
<span class="checkbox-button-display ">
</span>
<span class="checkbox-button-label-text question-body-font-theme user-generated "> Veteran Representative </span>
</label>
</div>
</div>
<div class="answer-option-cell
" data-answer-id="1286341877">
<div data-sm-checkbox="" class="checkbox-button-container ">
<input id="177056620_1286341877" name="177056620[]" type="checkbox" class="checkbox-button-input " value="1286341877">
<label class="answer-label checkbox-button-label no-touch touch-sensitive clearfix" for="177056620_1286341877">
<span class="checkbox-button-display ">
</span>
<span class="checkbox-button-label-text question-body-font-theme user-generated "> Supervisor </span>
</label>
</div>
</div>
<div class="answer-option-cell
" data-answer-id="1286341878">
<div data-sm-checkbox="" class="checkbox-button-container ">
<input id="177056620_1286341878" name="177056620[]" type="checkbox" class="checkbox-button-input " value="1286341878">
<label class="answer-label checkbox-button-label no-touch touch-sensitive clearfix" for="177056620_1286341878">
<span class="checkbox-button-display ">
</span>
<span class="checkbox-button-label-text question-body-font-theme user-generated "> System Administrator </span>
</label>
</div>
</div>
<div class="answer-option-cell
" data-answer-id="1286432141">
<div data-sm-checkbox="" class="checkbox-button-container ">
<input id="177056620_1286432141" name="177056620[]" type="checkbox" class="checkbox-button-input " value="1286432141">
<label class="answer-label checkbox-button-label no-touch touch-sensitive clearfix" for="177056620_1286432141">
<span class="checkbox-button-display ">
</span>
<span class="checkbox-button-label-text question-body-font-theme user-generated "> Leadership </span>
</label>
</div>
</div>
<div class="answer-option-cell
" data-answer-id="1286432142">
<div data-sm-checkbox="" class="checkbox-button-container ">
<input id="177056620_1286432142" name="177056620[]" type="checkbox" class="checkbox-button-input " value="1286432142">
<label class="answer-label checkbox-button-label no-touch touch-sensitive clearfix" for="177056620_1286432142">
<span class="checkbox-button-display ">
</span>
<span class="checkbox-button-label-text question-body-font-theme user-generated "> Director </span>
</label>
</div>
</div>
</div>
<div class="answer-option-col
answer-option-col-3">
<div class="answer-option-cell
" data-answer-id="1286432143">
<div data-sm-checkbox="" class="checkbox-button-container ">
<input id="177056620_1286432143" name="177056620[]" type="checkbox" class="checkbox-button-input " value="1286432143">
<label class="answer-label checkbox-button-label no-touch touch-sensitive clearfix" for="177056620_1286432143">
<span class="checkbox-button-display ">
</span>
<span class="checkbox-button-label-text question-body-font-theme user-generated "> Training </span>
</label>
</div>
</div>
<div class="answer-option-cell
" data-answer-id="1286341879">
<div data-sm-checkbox="" class="checkbox-button-container ">
<input id="177056620_1286341879" name="177056620[]" type="checkbox" class="checkbox-button-input " value="1286341879">
<label class="answer-label checkbox-button-label no-touch touch-sensitive clearfix" for="177056620_1286341879">
<span class="checkbox-button-display ">
</span>
<span class="checkbox-button-label-text question-body-font-theme user-generated "> Accounting (Payment and Overpayments) </span>
</label>
</div>
</div>
<div class="answer-option-cell
" data-answer-id="1286341881">
<div data-sm-checkbox="" class="checkbox-button-container ">
<input id="177056620_1286341881" name="177056620[]" type="checkbox" class="checkbox-button-input " value="1286341881">
<label class="answer-label checkbox-button-label no-touch touch-sensitive clearfix" for="177056620_1286341881">
<span class="checkbox-button-display ">
</span>
<span class="checkbox-button-label-text question-body-font-theme user-generated "> Tax </span>
</label>
</div>
</div>
<div class="answer-option-cell
" data-answer-id="1286341882">
<div data-sm-checkbox="" class="checkbox-button-container ">
<input id="177056620_1286341882" name="177056620[]" type="checkbox" class="checkbox-button-input " value="1286341882">
<label class="answer-label checkbox-button-label no-touch touch-sensitive clearfix" for="177056620_1286341882">
<span class="checkbox-button-display ">
</span>
<span class="checkbox-button-label-text question-body-font-theme user-generated "> Federal Reporting/Data </span>
</label>
</div>
</div>
<div class="answer-option-cell
" data-answer-id="1286341883">
<div data-sm-checkbox="" class="checkbox-button-container ">
<input id="177056620_1286341883" name="177056620[]" type="checkbox" class="checkbox-button-input " value="1286341883">
<label class="answer-label checkbox-button-label no-touch touch-sensitive clearfix" for="177056620_1286341883">
<span class="checkbox-button-display ">
</span>
<span class="checkbox-button-label-text question-body-font-theme user-generated "> Field Auditor </span>
</label>
</div>
</div>
<div class="answer-option-cell
" data-answer-id="1286341884">
<div data-sm-checkbox="" class="checkbox-button-container ">
<input id="177056620_1286341884" name="177056620[]" type="checkbox" class="checkbox-button-input " value="1286341884">
<label class="answer-label checkbox-button-label no-touch touch-sensitive clearfix" for="177056620_1286341884">
<span class="checkbox-button-display ">
</span>
<span class="checkbox-button-label-text question-body-font-theme user-generated "> Tech Support </span>
</label>
</div>
</div>
</div>
<div class="nota-row-container answer-option-col
answer-option-col-3">
<div class="answer-option-cell" data-answer-id="1286341980">
<div data-sm-checkbox="" class="checkbox-button-container ">
<input id="177056620_1286341980" name="177056620[]" type="checkbox" class="checkbox-button-input nota-button-input " value="1286341980">
<label class="answer-label checkbox-button-label no-touch touch-sensitive clearfix" for="177056620_1286341980">
<span class="checkbox-button-display ">
</span>
<span class="checkbox-button-label-text question-body-font-theme user-generated "> None of the above </span>
</label>
</div>
</div>
</div>
<div class="other-answer-container">
<label class="question-body-font-theme answer-label other-answer-label comment-label user-generated" for="177056620_other"> Other (please specify) </label>
<input id="177056620_other" name="177056620_other" type="text" class="text other-answer-text" maxlength="20000" size="50" data-other-text="">
</div>
</div>
</fieldset>
</div>
</div>
</div>
<div class="question-row clearfix
">
<div data-question-type="multiple_choice_vertical_two_col" data-rq-question-type="multiple_choice_vertical_two_col" class="question-container
">
<div id="question-field-177056619" data-qnumber="4" data-qdispnumber="4" data-question-id="177056619" class=" question-multiple-choice qn question vertical_two_col question-required" style="width:px;
">
<h3 class="screenreader-only">Question Title</h3>
<fieldset class=" question-fieldset">
<legend class="question-legend">
<h4 id="question-title-177056619" class="
question-title-container ">
<span class="required-asterisk notranslate"> * </span>
<span class="question-number notranslate"> 4<span class="question-dot">.</span>
</span>
<span class="user-generated notranslate
"> What programs do you work with? (select all that apply)</span>
</h4>
</legend>
<div class="question-body clearfix notranslate ">
<div class="answer-option-col
answer-option-col-2">
<div class="answer-option-cell
" data-answer-id="1286341836">
<div data-sm-checkbox="" class="checkbox-button-container ">
<input id="177056619_1286341836" name="177056619[]" type="checkbox" class="checkbox-button-input " value="1286341836">
<label class="answer-label checkbox-button-label no-touch touch-sensitive clearfix" for="177056619_1286341836">
<span class="checkbox-button-display ">
</span>
<span class="checkbox-button-label-text question-body-font-theme user-generated "> WIOA </span>
</label>
</div>
</div>
<div class="answer-option-cell
" data-answer-id="1286341837">
<div data-sm-checkbox="" class="checkbox-button-container ">
<input id="177056619_1286341837" name="177056619[]" type="checkbox" class="checkbox-button-input " value="1286341837">
<label class="answer-label checkbox-button-label no-touch touch-sensitive clearfix" for="177056619_1286341837">
<span class="checkbox-button-display ">
</span>
<span class="checkbox-button-label-text question-body-font-theme user-generated "> Wagner-Peyser </span>
</label>
</div>
</div>
<div class="answer-option-cell
" data-answer-id="1286341838">
<div data-sm-checkbox="" class="checkbox-button-container ">
<input id="177056619_1286341838" name="177056619[]" type="checkbox" class="checkbox-button-input " value="1286341838">
<label class="answer-label checkbox-button-label no-touch touch-sensitive clearfix" for="177056619_1286341838">
<span class="checkbox-button-display ">
</span>
<span class="checkbox-button-label-text question-body-font-theme user-generated "> Supplemental Nutrition Assistance Program </span>
</label>
</div>
</div>
<div class="answer-option-cell
" data-answer-id="1286341839">
<div data-sm-checkbox="" class="checkbox-button-container ">
<input id="177056619_1286341839" name="177056619[]" type="checkbox" class="checkbox-button-input " value="1286341839">
<label class="answer-label checkbox-button-label no-touch touch-sensitive clearfix" for="177056619_1286341839">
<span class="checkbox-button-display ">
</span>
<span class="checkbox-button-label-text question-body-font-theme user-generated "> Temporary Assistance for Needy Families </span>
</label>
</div>
</div>
<div class="answer-option-cell
" data-answer-id="1286341852">
<div data-sm-checkbox="" class="checkbox-button-container ">
<input id="177056619_1286341852" name="177056619[]" type="checkbox" class="checkbox-button-input " value="1286341852">
<label class="answer-label checkbox-button-label no-touch touch-sensitive clearfix" for="177056619_1286341852">
<span class="checkbox-button-display ">
</span>
<span class="checkbox-button-label-text question-body-font-theme user-generated "> Labor Market Information </span>
</label>
</div>
</div>
<div class="answer-option-cell
" data-answer-id="1286341853">
<div data-sm-checkbox="" class="checkbox-button-container ">
<input id="177056619_1286341853" name="177056619[]" type="checkbox" class="checkbox-button-input " value="1286341853">
<label class="answer-label checkbox-button-label no-touch touch-sensitive clearfix" for="177056619_1286341853">
<span class="checkbox-button-display ">
</span>
<span class="checkbox-button-label-text question-body-font-theme user-generated "> Unemployment Insurance Benefits </span>
</label>
</div>
</div>
<div class="answer-option-cell
" data-answer-id="1286341854">
<div data-sm-checkbox="" class="checkbox-button-container ">
<input id="177056619_1286341854" name="177056619[]" type="checkbox" class="checkbox-button-input " value="1286341854">
<label class="answer-label checkbox-button-label no-touch touch-sensitive clearfix" for="177056619_1286341854">
<span class="checkbox-button-display ">
</span>
<span class="checkbox-button-label-text question-body-font-theme user-generated "> Unemployment Insurance Tax </span>
</label>
</div>
</div>
</div>
<div class="answer-option-col
answer-option-col-2">
<div class="answer-option-cell
" data-answer-id="1286341855">
<div data-sm-checkbox="" class="checkbox-button-container ">
<input id="177056619_1286341855" name="177056619[]" type="checkbox" class="checkbox-button-input " value="1286341855">
<label class="answer-label checkbox-button-label no-touch touch-sensitive clearfix" for="177056619_1286341855">
<span class="checkbox-button-display ">
</span>
<span class="checkbox-button-label-text question-body-font-theme user-generated "> Paid Family Leave </span>
</label>
</div>
</div>
<div class="answer-option-cell
" data-answer-id="1286341856">
<div data-sm-checkbox="" class="checkbox-button-container ">
<input id="177056619_1286341856" name="177056619[]" type="checkbox" class="checkbox-button-input " value="1286341856">
<label class="answer-label checkbox-button-label no-touch touch-sensitive clearfix" for="177056619_1286341856">
<span class="checkbox-button-display ">
</span>
<span class="checkbox-button-label-text question-body-font-theme user-generated "> Vocational Rehabilitation </span>
</label>
</div>
</div>
<div class="answer-option-cell
" data-answer-id="1286341857">
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Text Content
FOLLOW-UP CLIENT SATISFACTION SURVEY - FIRST QUARTER 2024 Client satisfaction is a top priority at Geographic Solutions. We thank you for your valuable feedback provided in February of 2023. We have thoroughly compiled and analyzed your responses and sprung into action. We assembled task forces focused on addressing and making improvements to your biggest pain points. This survey will serve as a retrospective to 2023, a follow-up to your previous feedback, and a roadmap for how we can improve even more in 2024. Your feedback will guide us along as we strive to bring customer service to not only meet but exceed your expectations. We are thankful for your partnership and appreciative of your valuable time. Page1 / 4 25% of survey complete. QUESTION TITLE * 1. WE KINDLY ASK THAT YOU PROVIDE US WITH YOUR NAME AND CONTACT INFORMATION, SHOULD YOU FEEL COMFORTABLE DOING SO. WE WILL NOT SHARE THIS FEEDBACK WITH YOUR AGENCY COWORKERS OR YOUR ASSIGNED PROJECT MANAGER. IF YOU IDENTIFY ANYTHING YOU FEEL COULD BE IMPROVED AND YOU HAVE PROVIDED YOUR CONTACT INFO, OUR CLIENT SATISFACTION REPRESENTATIVE WILL REACH OUT TO YOU DIRECTLY TO FORMULATE A PLAN THAT WILL ADDRESS YOUR CONCERNS. Name: Title: Email: Phone: QUESTION TITLE * 2. AGENCY NAME: QUESTION TITLE * 3. WHAT IS YOUR ROLE IN THE ORGANIZATION? (SELECT ALL THAT APPLY) Case Manager Job Seeker Services Employer Services LMI Analyst Job Developer Claim Intake Call Center Appeals Adjudicator Veteran Representative Supervisor System Administrator Leadership Director Training Accounting (Payment and Overpayments) Tax Federal Reporting/Data Field Auditor Tech Support None of the above Other (please specify) QUESTION TITLE * 4. WHAT PROGRAMS DO YOU WORK WITH? (SELECT ALL THAT APPLY) WIOA Wagner-Peyser Supplemental Nutrition Assistance Program Temporary Assistance for Needy Families Labor Market Information Unemployment Insurance Benefits Unemployment Insurance Tax Paid Family Leave Vocational Rehabilitation Adult Education Trade Locally-Defined Programs Youth None of the above Other (please specify) Next Powered by See how easy it is to create surveys and forms. Privacy & Cookie Notice Javascript is required for this site to function, please enable.