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Questions marked with an * are required Exit Survey
 
 
1. Name
   
 
 
 
2.  
 
Male
 
Female
 
 
 
* 3. Class
 
ESL 1
 
ESL 2
 
ESL 3
 
ESL 4
 
ABE
 
GED
 
Other
 
 
 
 
* 4.  
 
I have a job.
 
I don't have a job.
 
 
 
5.  
 
I want a job.
 
I don't want a job.
 
 
 
6. I work in:
 
Office/admin
 
Childcare/Education
 
Health care/personal care
 
Housekeeper/janitor
 
Food Service
 
Bank/finance
 
Labor/manufacturing
 
Retail
 
None
 
Other
 

 
 
 
7. I want to work in:
 
Office/admin
 
Childcare/Education
 
Health care/personal care
 
Housekeeper/janitor
 
Food Service
 
Bank/finance
 
Labor/manufacturing
 
Retail
 
None
 
Other
 

 
 
 
8. I need:
 
a resume
 
a job application
 
to find legal services
 
to find housing
 
to use a computer
 
to write a letter
 
tax preparation
 
Other