Step 1 of 7 14% Section 1: Provider InformationYears your organization has provided services to individuals who are blind, visually impaired, or deaf-blind(Required)0-5 years6-10 years11-15 years16-20 yearsMore than 20 yearsGeographic areas your organization serves (select all that apply)(Required) North Central South Statewide Urban Suburban Rural Other Other geographical area(s)(Required) Section 2: Partnership Alignment & ReferralsInstructions: Please respond based on your experience within the last 12 months. Use the 4-point scale below where indicated and select "Does Not Apply" when an item does not apply.Referrals from CBVI are appropriate for the services our organization provides.(Required)Strongly AgreeAgreeDisagreeStrongly DisagreeDoes Not ApplyOur organization has a structured process in place to coordinate services with CBVI.(Required)Strongly AgreeAgreeDisagreeStrongly DisagreeDoes Not ApplyClear and well-defined procedures guide our organization’s partnership with CBVI.(Required)Strongly AgreeAgreeDisagreeStrongly DisagreeDoes Not ApplyHow could CBVI strengthen collaboration with providers like you?(Required) Section 3: Communication & Collaboration with CBVIInstructions: Please respond based on your experience within the last 12 months. Use the 4-point scale below where indicated and select "Does Not Apply" when an item does not apply.Timeliness — CBVI communicates in a timely manner to coordinate referrals, authorizations, and case milestones.(Required)Strongly AgreeAgreeDisagreeStrongly DisagreeDoes Not ApplyHow can CBVI improve in this area?(Required)Clarity & actionability — CBVI communications are clear and include specific next steps, timelines, and responsibilities.(Required)Strongly AgreeAgreeDisagreeStrongly DisagreeDoes Not ApplyHow can CBVI improve in this area?(Required)Responsiveness — Questions or issues raised by our organization receive responses within expected timeframes.(Required)Strongly AgreeAgreeDisagreeStrongly DisagreeDoes Not ApplyHow can CBVI improve in this area?(Required)Referral information quality — Referral packets from CBVI contain sufficient information to begin services.(Required)Strongly AgreeAgreeDisagreeStrongly DisagreeDoes Not ApplyHow can CBVI improve in this area?(Required)Point of contact — We know who to contact at CBVI for case, billing, and contract questions, and roles are clear.(Required)Strongly AgreeAgreeDisagreeStrongly DisagreeDoes Not ApplyHow can CBVI improve in this area?(Required)Issue escalation — There is a clear escalation process for urgent or unresolved issues, and it is effective when used.(Required)Strongly AgreeAgreeDisagreeStrongly DisagreeDoes Not ApplyHow can CBVI improve in this area?(Required)Policy/procedure updates — CBVI provides adequate advance notice and explanation of policy or procedure changes.(Required)Strongly AgreeAgreeDisagreeStrongly DisagreeDoes Not ApplyPlease explain.(Required)How can CBVI improve in this area?(Required)Accessibility & channels — CBVI accommodates accessible formats and uses appropriate channels (email, phone, meetings).(Required)Strongly AgreeAgreeDisagreeStrongly DisagreeDoes Not ApplyHow can CBVI improve in this area?(Required)Meeting cadence — Standing meetings or ad-hoc check-ins with CBVI occur at the right frequency based on the individual consumer's needs.(Required)Strongly AgreeAgreeDisagreeStrongly DisagreeDoes Not ApplyHow can CBVI improve in this area?(Required)How can CBVI improve in this area?(Required)What one change would most improve communication or coordination with CBVI?(Required) Section 4: Services & CapacityInstructions: Please respond based on your experience within the last 12 months. Use the 4-point scale below where indicated and select "Does Not Apply" when an item does not apply.Our organization currently has the staffing and resources to meet CBVI referral demand.(Required)Strongly AgreeAgreeDisagreeStrongly DisagreeDoes Not ApplyWhich services are most in demand but difficult for your organization to provide?(Required)Are there services CBVI should expand or add to better meet consumer needs? If yes, please describe.(Required)What challenges do you face in hiring or retaining qualified staff?(Required) Section 5: Underserved or Unserved PopulationsAs part of the Comprehensive Statewide Needs Assessment (CSNA), we are required to assess which groups of people may be unserved or underserved by CBVI in the last 12 months. Your answers will help us identify barriers, improve access, and plan services that better meet community needs.Thinking about the consumers you serve, which populations do you believe may be unserved or underserved by CBVI—meaning their needs are not being fully met through current services or outreach? (Select all that apply) Please select all populations you believe are unserved/underserved in the responses below before moving to follow-up questions.(Required) Racial or ethnic groups Non-English or Limited English Proficiency (LEP) language groups Individuals with particular disability types Individuals in specific geographic areas Individuals in specific age groups LGBTQIA+ populations Individuals with substance use concerns Other None For the LGBTQIA+ populations, which services are most needed? (Select all that apply)(Required) Pre-placement (readiness, job search, placement) Pre-ETS (job exploration, WBLEs, postsecondary counseling, etc.) Supported Employment Customized Employment Postsecondary Education or Training On-the-Job Training Disability-related skills (O&M, independent living/blindness skills) Benefits Counseling Assistive/Rehab Technology Other Other:(Required)For the LGBTQIA+ populations, which services are insufficiently available? (Select all that apply)(Required) Pre-placement (readiness, job search, placement) Pre-ETS (job exploration, WBLEs, postsecondary counseling, etc.) Supported Employment Customized Employment Postsecondary Education or Training On-the-Job Training Disability-related skills (O&M, independent living/blindness skills) Benefits Counseling Assistive/Rehab Technology Other Other:(Required)What are the top barriers limiting service delivery to the LGBTQIA+ populations? (Select up to three)(Required) Limited community awareness about agency services Staff engagement Transportation access Cross-agency coordination Timeliness of service delivery Provider availability/capacity Other Other:(Required)What should CBVI do to better reach and serve the LGBTQIA+ populations?(Required)For the Individuals with substance use concerns, which services are most needed? (Select all that apply)(Required) Pre-placement (readiness, job search, placement) Pre-ETS (job exploration, WBLEs, postsecondary counseling, etc.) Supported Employment Customized Employment Postsecondary Education or Training On-the-Job Training Disability-related skills (O&M, independent living/blindness skills) Benefits Counseling Assistive/Rehab Technology Other Other:(Required)For the Individuals with substance use concerns, which services are insufficiently available? (Select all that apply)(Required) Pre-placement (readiness, job search, placement) Pre-ETS (job exploration, WBLEs, postsecondary counseling, etc.) Supported Employment Customized Employment Postsecondary Education or Training On-the-Job Training Disability-related skills (O&M, independent living/blindness skills) Benefits Counseling Assistive/Rehab Technology Other Other:(Required)What are the top barriers limiting service delivery to the Individuals with substance use concerns? (Select up to three)(Required) Limited community awareness about agency services Staff engagement Transportation access Cross-agency coordination Timeliness of service delivery Provider availability/capacity Other Other:(Required)What should CBVI do to better reach and serve the Individuals with substance use concerns?(Required)For the Other Unserved or Underserved populations, which services are most needed? (Select all that apply)(Required) Pre-placement (readiness, job search, placement) Pre-ETS (job exploration, WBLEs, postsecondary counseling, etc.) Supported Employment Customized Employment Postsecondary Education or Training On-the-Job Training Disability-related skills (O&M, independent living/blindness skills) Benefits Counseling Assistive/Rehab Technology Other Other:(Required)For the Other Unserved or Underserved populations, which services are insufficiently available? (Select all that apply)(Required) Pre-placement (readiness, job search, placement) Pre-ETS (job exploration, WBLEs, postsecondary counseling, etc.) Supported Employment Customized Employment Postsecondary Education or Training On-the-Job Training Disability-related skills (O&M, independent living/blindness skills) Benefits Counseling Assistive/Rehab Technology Other Other:(Required)What are the top barriers limiting service delivery to the Other Unserved or Underserved populations? (Select up to three)(Required) Limited community awareness about agency services Staff engagement Transportation access Cross-agency coordination Timeliness of service delivery Provider availability/capacity Other Other:(Required)What should CBVI do to better reach and serve the Other Unserved or Underserved populations?(Required)Other:(Required)Which racial or ethnic groups are underserved? (Select all that apply)(Required) Asian White Native Hawaiian or Other Pacific Islander American Indian/Alaska Native Black or African American Hispanic/Latino Which language groups are underserved? (Select all that apply)(Required) Spanish Mandarin Cantonese Portuguese Gujarati Hindi Tagalog (Filipino) Korean Arabic Italian Polish Haitian (Haitian Creole) Russian Other Other:(Required)For the Spanish population, which services are most needed? (Select all that apply)(Required) Pre-placement (readiness, job search, placement) Pre-ETS (job exploration, WBLEs, postsecondary counseling, etc.) Supported Employment Customized Employment Postsecondary Education or Training On-the-Job Training Disability-related skills (O&M, independent living/blindness skills) Benefits Counseling Assistive/Rehab Technology Other Other:(Required)For the Spanish population, which services are insufficiently available? (Select all that apply)(Required) Pre-placement (readiness, job search, placement) Pre-ETS (job exploration, WBLEs, postsecondary counseling, etc.) Supported Employment Customized Employment Postsecondary Education or Training On-the-Job Training Disability-related skills (O&M, independent living/blindness skills) Benefits Counseling Assistive/Rehab Technology Other Other:(Required)What are the top barriers limiting service delivery to the Spanish population? (Select up to three)(Required) Limited community awareness about agency services Staff engagement Transportation access Cross-agency coordination Timeliness of service delivery Provider availability/capacity Other Other:(Required)What should CBVI do to better reach and serve the Spanish population?(Required)For the Mandarin population, which services are most needed? (Select all that apply)(Required) Pre-placement (readiness, job search, placement) Pre-ETS (job exploration, WBLEs, postsecondary counseling, etc.) Supported Employment Customized Employment Postsecondary Education or Training On-the-Job Training Disability-related skills (O&M, independent living/blindness skills) Benefits Counseling Assistive/Rehab Technology Other Other:(Required)For the Mandarin population, which services are insufficiently available? (Select all that apply)(Required) Pre-placement (readiness, job search, placement) Pre-ETS (job exploration, WBLEs, postsecondary counseling, etc.) Supported Employment Customized Employment Postsecondary Education or Training On-the-Job Training Disability-related skills (O&M, independent living/blindness skills) Benefits Counseling Assistive/Rehab Technology Other Other:(Required)What are the top barriers limiting service delivery to the Mandarin population? (Select up to three)(Required) Limited community awareness about agency services Staff engagement Transportation access Cross-agency coordination Timeliness of service delivery Provider availability/capacity Other Other:(Required)What should CBVI do to better reach and serve the Mandarin population?(Required)For the Cantonese population, which services are most needed? (Select all that apply)(Required) Pre-placement (readiness, job search, placement) Pre-ETS (job exploration, WBLEs, postsecondary counseling, etc.) Supported Employment Customized Employment Postsecondary Education or Training On-the-Job Training Disability-related skills (O&M, independent living/blindness skills) Benefits Counseling Assistive/Rehab Technology Other Other:(Required)For the Cantonese population, which services are insufficiently available? (Select all that apply)(Required) Pre-placement (readiness, job search, placement) Pre-ETS (job exploration, WBLEs, postsecondary counseling, etc.) Supported Employment Customized Employment Postsecondary Education or Training On-the-Job Training Disability-related skills (O&M, independent living/blindness skills) Benefits Counseling Assistive/Rehab Technology Other Other:(Required)What are the top barriers limiting service delivery to the Cantonese population? (Select up to three)(Required) Limited community awareness about agency services Staff engagement Transportation access Cross-agency coordination Timeliness of service delivery Provider availability/capacity Other Other:(Required)What should CBVI do to better reach and serve the Cantonese population?(Required)For the Portuguese population, which services are most needed? (Select all that apply)(Required) Pre-placement (readiness, job search, placement) Pre-ETS (job exploration, WBLEs, postsecondary counseling, etc.) Supported Employment Customized Employment Postsecondary Education or Training On-the-Job Training Disability-related skills (O&M, independent living/blindness skills) Benefits Counseling Assistive/Rehab Technology Other Other:(Required)For the Portuguese population, which services are insufficiently available? (Select all that apply)(Required) Pre-placement (readiness, job search, placement) Pre-ETS (job exploration, WBLEs, postsecondary counseling, etc.) Supported Employment Customized Employment Postsecondary Education or Training On-the-Job Training Disability-related skills (O&M, independent living/blindness skills) Benefits Counseling Assistive/Rehab Technology Other Other:(Required)What are the top barriers limiting service delivery to the Portuguese population? (Select up to three)(Required) Limited community awareness about agency services Staff engagement Transportation access Cross-agency coordination Timeliness of service delivery Provider availability/capacity Other Other:(Required)What should CBVI do to better reach and serve the Portuguese population?(Required)For the Gujarati population, which services are most needed? (Select all that apply)(Required) Pre-placement (readiness, job search, placement) Pre-ETS (job exploration, WBLEs, postsecondary counseling, etc.) Supported Employment Customized Employment Postsecondary Education or Training On-the-Job Training Disability-related skills (O&M, independent living/blindness skills) Benefits Counseling Assistive/Rehab Technology Other Other:(Required)For the Gujarati population, which services are insufficiently available? (Select all that apply)(Required) Pre-placement (readiness, job search, placement) Pre-ETS (job exploration, WBLEs, postsecondary counseling, etc.) Supported Employment Customized Employment Postsecondary Education or Training On-the-Job Training Disability-related skills (O&M, independent living/blindness skills) Benefits Counseling Assistive/Rehab Technology Other Other:(Required)What are the top barriers limiting service delivery to the Gujarati population? (Select up to three)(Required) Limited community awareness about agency services Staff engagement Transportation access Cross-agency coordination Timeliness of service delivery Provider availability/capacity Other Other:(Required)What should CBVI do to better reach and serve the Gujarati population?(Required)For the Hindi population, which services are most needed? (Select all that apply)(Required) Pre-placement (readiness, job search, placement) Pre-ETS (job exploration, WBLEs, postsecondary counseling, etc.) Supported Employment Customized Employment Postsecondary Education or Training On-the-Job Training Disability-related skills (O&M, independent living/blindness skills) Benefits Counseling Assistive/Rehab Technology Other Other:(Required)For the Hindi population, which services are insufficiently available? (Select all that apply)(Required) Pre-placement (readiness, job search, placement) Pre-ETS (job exploration, WBLEs, postsecondary counseling, etc.) Supported Employment Customized Employment Postsecondary Education or Training On-the-Job Training Disability-related skills (O&M, independent living/blindness skills) Benefits Counseling Assistive/Rehab Technology Other Other:(Required)What are the top barriers limiting service delivery to the Hindi population? (Select up to three)(Required) Limited community awareness about agency services Staff engagement Transportation access Cross-agency coordination Timeliness of service delivery Provider availability/capacity Other Other:(Required)What should CBVI do to better reach and serve the Hindi population?(Required)For the Tagalog (Filipino) population, which services are most needed? (Select all that apply)(Required) Pre-placement (readiness, job search, placement) Pre-ETS (job exploration, WBLEs, postsecondary counseling, etc.) Supported Employment Customized Employment Postsecondary Education or Training On-the-Job Training Disability-related skills (O&M, independent living/blindness skills) Benefits Counseling Assistive/Rehab Technology Other Other:(Required)For the Tagalog (Filipino) population, which services are insufficiently available? (Select all that apply)(Required) Pre-placement (readiness, job search, placement) Pre-ETS (job exploration, WBLEs, postsecondary counseling, etc.) Supported Employment Customized Employment Postsecondary Education or Training On-the-Job Training Disability-related skills (O&M, independent living/blindness skills) Benefits Counseling Assistive/Rehab Technology Other Other:(Required)What are the top barriers limiting service delivery to the Tagalog (Filipino) population? (Select up to three)(Required) Limited community awareness about agency services Staff engagement Transportation access Cross-agency coordination Timeliness of service delivery Provider availability/capacity Other Other:(Required)What should CBVI do to better reach and serve the Tagalog (Filipino) population?(Required)For the Korean population, which services are most needed? (Select all that apply)(Required) Pre-placement (readiness, job search, placement) Pre-ETS (job exploration, WBLEs, postsecondary counseling, etc.) Supported Employment Customized Employment Postsecondary Education or Training On-the-Job Training Disability-related skills (O&M, independent living/blindness skills) Benefits Counseling Assistive/Rehab Technology Other Other:(Required)For the Korean population, which services are insufficiently available? (Select all that apply)(Required) Pre-placement (readiness, job search, placement) Pre-ETS (job exploration, WBLEs, postsecondary counseling, etc.) Supported Employment Customized Employment Postsecondary Education or Training On-the-Job Training Disability-related skills (O&M, independent living/blindness skills) Benefits Counseling Assistive/Rehab Technology Other Other:(Required)What are the top barriers limiting service delivery to the Korean population? (Select up to three)(Required) Limited community awareness about agency services Staff engagement Transportation access Cross-agency coordination Timeliness of service delivery Provider availability/capacity Other Other:(Required)What should CBVI do to better reach and serve the Korean population?(Required)For the Arabic population, which services are most needed? (Select all that apply)(Required) Pre-placement (readiness, job search, placement) Pre-ETS (job exploration, WBLEs, postsecondary counseling, etc.) Supported Employment Customized Employment Postsecondary Education or Training On-the-Job Training Disability-related skills (O&M, independent living/blindness skills) Benefits Counseling Assistive/Rehab Technology Other Other:(Required)For the Arabic population, which services are insufficiently available? (Select all that apply)(Required) Pre-placement (readiness, job search, placement) Pre-ETS (job exploration, WBLEs, postsecondary counseling, etc.) Supported Employment Customized Employment Postsecondary Education or Training On-the-Job Training Disability-related skills (O&M, independent living/blindness skills) Benefits Counseling Assistive/Rehab Technology Other Other:(Required)What are the top barriers limiting service delivery to the Arabic population? (Select up to three)(Required) Limited community awareness about agency services Staff engagement Transportation access Cross-agency coordination Timeliness of service delivery Provider availability/capacity Other Other:(Required)What should CBVI do to better reach and serve the Arabic population?(Required)For the Italian population, which services are most needed? (Select all that apply)(Required) Pre-placement (readiness, job search, placement) Pre-ETS (job exploration, WBLEs, postsecondary counseling, etc.) Supported Employment Customized Employment Postsecondary Education or Training On-the-Job Training Disability-related skills (O&M, independent living/blindness skills) Benefits Counseling Assistive/Rehab Technology Other Other:(Required)For the Italian population, which services are insufficiently available? (Select all that apply)(Required) Pre-placement (readiness, job search, placement) Pre-ETS (job exploration, WBLEs, postsecondary counseling, etc.) Supported Employment Customized Employment Postsecondary Education or Training On-the-Job Training Disability-related skills (O&M, independent living/blindness skills) Benefits Counseling Assistive/Rehab Technology Other Other:(Required)What are the top barriers limiting service delivery to the Italian population? (Select up to three)(Required) Limited community awareness about agency services Staff engagement Transportation access Cross-agency coordination Timeliness of service delivery Provider availability/capacity Other Other:(Required)What should CBVI do to better reach and serve the Italian population?(Required)For the Polish population, which services are most needed? (Select all that apply)(Required) Pre-placement (readiness, job search, placement) Pre-ETS (job exploration, WBLEs, postsecondary counseling, etc.) Supported Employment Customized Employment Postsecondary Education or Training On-the-Job Training Disability-related skills (O&M, independent living/blindness skills) Benefits Counseling Assistive/Rehab Technology Other Other:(Required)For the Polish population, which services are insufficiently available? (Select all that apply)(Required) Pre-placement (readiness, job search, placement) Pre-ETS (job exploration, WBLEs, postsecondary counseling, etc.) Supported Employment Customized Employment Postsecondary Education or Training On-the-Job Training Disability-related skills (O&M, independent living/blindness skills) Benefits Counseling Assistive/Rehab Technology Other Other:(Required)What are the top barriers limiting service delivery to the Polish population? (Select up to three)(Required) Limited community awareness about agency services Staff engagement Transportation access Cross-agency coordination Timeliness of service delivery Provider availability/capacity Other Other:(Required)What should CBVI do to better reach and serve the Polish population?(Required)For the Haitian (Haitian Creole) population, which services are most needed? (Select all that apply)(Required) Pre-placement (readiness, job search, placement) Pre-ETS (job exploration, WBLEs, postsecondary counseling, etc.) Supported Employment Customized Employment Postsecondary Education or Training On-the-Job Training Disability-related skills (O&M, independent living/blindness skills) Benefits Counseling Assistive/Rehab Technology Other Other:(Required)For the Haitian (Haitian Creole) population, which services are insufficiently available? (Select all that apply)(Required) Pre-placement (readiness, job search, placement) Pre-ETS (job exploration, WBLEs, postsecondary counseling, etc.) Supported Employment Customized Employment Postsecondary Education or Training On-the-Job Training Disability-related skills (O&M, independent living/blindness skills) Benefits Counseling Assistive/Rehab Technology Other Other:(Required)What are the top barriers limiting service delivery to the Haitian (Haitian Creole) population? (Select up to three)(Required) Limited community awareness about agency services Staff engagement Transportation access Cross-agency coordination Timeliness of service delivery Provider availability/capacity Other Other:(Required)What should CBVI do to better reach and serve the Haitian (Haitian Creole) population?(Required)For the Russian population, which services are most needed? (Select all that apply)(Required) Pre-placement (readiness, job search, placement) Pre-ETS (job exploration, WBLEs, postsecondary counseling, etc.) Supported Employment Customized Employment Postsecondary Education or Training On-the-Job Training Disability-related skills (O&M, independent living/blindness skills) Benefits Counseling Assistive/Rehab Technology Other Other:(Required)For the Russian population, which services are insufficiently available? (Select all that apply)(Required) Pre-placement (readiness, job search, placement) Pre-ETS (job exploration, WBLEs, postsecondary counseling, etc.) Supported Employment Customized Employment Postsecondary Education or Training On-the-Job Training Disability-related skills (O&M, independent living/blindness skills) Benefits Counseling Assistive/Rehab Technology Other Other:(Required)What are the top barriers limiting service delivery to the Russian population? (Select up to three)(Required) Limited community awareness about agency services Staff engagement Transportation access Cross-agency coordination Timeliness of service delivery Provider availability/capacity Other Other:(Required)What should CBVI do to better reach and serve the Russian population?(Required)For the Other Language population(s), which services are most needed? (Select all that apply)(Required) Pre-placement (readiness, job search, placement) Pre-ETS (job exploration, WBLEs, postsecondary counseling, etc.) Supported Employment Customized Employment Postsecondary Education or Training On-the-Job Training Disability-related skills (O&M, independent living/blindness skills) Benefits Counseling Assistive/Rehab Technology Other Other:(Required)For the Other Language population(s), which services are insufficiently available? (Select all that apply)(Required) Pre-placement (readiness, job search, placement) Pre-ETS (job exploration, WBLEs, postsecondary counseling, etc.) Supported Employment Customized Employment Postsecondary Education or Training On-the-Job Training Disability-related skills (O&M, independent living/blindness skills) Benefits Counseling Assistive/Rehab Technology Other Other:(Required)What are the top barriers limiting service delivery to the Other Language population(s)? (Select up to three)(Required) Limited community awareness about agency services Staff engagement Transportation access Cross-agency coordination Timeliness of service delivery Provider availability/capacity Other Other:(Required)What should CBVI do to better reach and serve the Other Language population(s)?(Required)For the Asian population, which services are most needed? (Select all that apply)(Required) Pre-placement (readiness, job search, placement) Pre-ETS (job exploration, WBLEs, postsecondary counseling, etc.) Supported Employment Customized Employment Postsecondary Education or Training On-the-Job Training Disability-related skills (O&M, independent living/blindness skills) Benefits Counseling Assistive/Rehab Technology Other Other:(Required)For the Asian population, which services are insufficiently available? (Select all that apply)(Required) Pre-placement (readiness, job search, placement) Pre-ETS (job exploration, WBLEs, postsecondary counseling, etc.) Supported Employment Customized Employment Postsecondary Education or Training On-the-Job Training Disability-related skills (O&M, independent living/blindness skills) Benefits Counseling Assistive/Rehab Technology Other Other:(Required)What are the top barriers limiting service delivery to the Asian population? (Select up to three)(Required) Limited community awareness about agency services Staff engagement Transportation access Cross-agency coordination Timeliness of service delivery Provider availability/capacity Other Other:(Required)What should CBVI do to better reach and serve the Asian population?(Required)For the White population, which services are most needed? (Select all that apply)(Required) Pre-placement (readiness, job search, placement) Pre-ETS (job exploration, WBLEs, postsecondary counseling, etc.) Supported Employment Customized Employment Postsecondary Education or Training On-the-Job Training Disability-related skills (O&M, independent living/blindness skills) Benefits Counseling Assistive/Rehab Technology Other Other:(Required)For the White population, which services are insufficiently available? (Select all that apply)(Required) Pre-placement (readiness, job search, placement) Pre-ETS (job exploration, WBLEs, postsecondary counseling, etc.) Supported Employment Customized Employment Postsecondary Education or Training On-the-Job Training Disability-related skills (O&M, independent living/blindness skills) Benefits Counseling Assistive/Rehab Technology Other Other:(Required)What are the top barriers limiting service delivery to the White population? (Select up to three)(Required) Limited community awareness about agency services Staff engagement Transportation access Cross-agency coordination Timeliness of service delivery Provider availability/capacity Other Other:(Required)What should CBVI do to better reach and serve the White population?(Required)For the Native Hawaiian or Other Pacific Islander population, which services are most needed? (Select all that apply)(Required) Pre-placement (readiness, job search, placement) Pre-ETS (job exploration, WBLEs, postsecondary counseling, etc.) Supported Employment Customized Employment Postsecondary Education or Training On-the-Job Training Disability-related skills (O&M, independent living/blindness skills) Benefits Counseling Assistive/Rehab Technology Other Other:(Required)For the Native Hawaiian or Other Pacific Islander population, which services are insufficiently available? (Select all that apply)(Required) Pre-placement (readiness, job search, placement) Pre-ETS (job exploration, WBLEs, postsecondary counseling, etc.) Supported Employment Customized Employment Postsecondary Education or Training On-the-Job Training Disability-related skills (O&M, independent living/blindness skills) Benefits Counseling Assistive/Rehab Technology Other Other:(Required)What are the top barriers limiting service delivery to the Native Hawaiian or Other Pacific Islander population? (Select up to three)(Required) Limited community awareness about agency services Staff engagement Transportation access Cross-agency coordination Timeliness of service delivery Provider availability/capacity Other Other:(Required)What should CBVI do to better reach and serve the Native Hawaiian or Other Pacific Islander population?(Required)For the American Indian/Alaska Native population, which services are most needed? (Select all that apply)(Required) Pre-placement (readiness, job search, placement) Pre-ETS (job exploration, WBLEs, postsecondary counseling, etc.) Supported Employment Customized Employment Postsecondary Education or Training On-the-Job Training Disability-related skills (O&M, independent living/blindness skills) Benefits Counseling Assistive/Rehab Technology Other Other:(Required)For the American Indian/Alaska Native population, which services are insufficiently available? (Select all that apply)(Required) Pre-placement (readiness, job search, placement) Pre-ETS (job exploration, WBLEs, postsecondary counseling, etc.) Supported Employment Customized Employment Postsecondary Education or Training On-the-Job Training Disability-related skills (O&M, independent living/blindness skills) Benefits Counseling Assistive/Rehab Technology Other Other:(Required)What are the top barriers limiting service delivery to the American Indian/Alaska Native population? (Select up to three)(Required) Limited community awareness about agency services Staff engagement Transportation access Cross-agency coordination Timeliness of service delivery Provider availability/capacity Other Other:(Required)What should CBVI do to better reach and serve the American Indian/Alaska Native population?(Required)For the Black or African American population, which services are most needed? (Select all that apply)(Required) Pre-placement (readiness, job search, placement) Pre-ETS (job exploration, WBLEs, postsecondary counseling, etc.) Supported Employment Customized Employment Postsecondary Education or Training On-the-Job Training Disability-related skills (O&M, independent living/blindness skills) Benefits Counseling Assistive/Rehab Technology Other Other:(Required)For the Black or African American population, which services are insufficiently available? (Select all that apply)(Required) Pre-placement (readiness, job search, placement) Pre-ETS (job exploration, WBLEs, postsecondary counseling, etc.) Supported Employment Customized Employment Postsecondary Education or Training On-the-Job Training Disability-related skills (O&M, independent living/blindness skills) Benefits Counseling Assistive/Rehab Technology Other Other:(Required)What are the top barriers limiting service delivery to the Black or African American population? (Select up to three)(Required) Limited community awareness about agency services Staff engagement Transportation access Cross-agency coordination Timeliness of service delivery Provider availability/capacity Other Other:(Required)What should CBVI do to better reach and serve the Black or African American population?(Required)For the Hispanic/Latino population, which services are most needed? (Select all that apply)(Required) Pre-placement (readiness, job search, placement) Pre-ETS (job exploration, WBLEs, postsecondary counseling, etc.) Supported Employment Customized Employment Postsecondary Education or Training On-the-Job Training Disability-related skills (O&M, independent living/blindness skills) Benefits Counseling Assistive/Rehab Technology Other Other:(Required)For the Hispanic/Latino population, which services are insufficiently available? (Select all that apply)(Required) Pre-placement (readiness, job search, placement) Pre-ETS (job exploration, WBLEs, postsecondary counseling, etc.) Supported Employment Customized Employment Postsecondary Education or Training On-the-Job Training Disability-related skills (O&M, independent living/blindness skills) Benefits Counseling Assistive/Rehab Technology Other Other:(Required)What are the top barriers limiting service delivery to the Hispanic/Latino population? (Select up to three)(Required) Limited community awareness about agency services Staff engagement Transportation access Cross-agency coordination Timeliness of service delivery Provider availability/capacity Other Other:(Required)What should CBVI do to better reach and serve the Hispanic/Latino population?(Required)Which disability groups are underserved? (Select all that apply)(Required) Cognitive/Intellectual and Developmental Mental Health Deaf-Blind Physical/Mobility Health/Medical Other Other:(Required)For the Cognitive/Intellectual and Developmental population, which services are most needed? (Select all that apply)(Required) Pre-placement (readiness, job search, placement) Pre-ETS (job exploration, WBLEs, postsecondary counseling, etc.) Supported Employment Customized Employment Postsecondary Education or Training On-the-Job Training Disability-related skills (O&M, independent living/blindness skills) Benefits Counseling Assistive/Rehab Technology Other Other:(Required)For the Cognitive/Intellectual and Developmental population, which services are insufficiently available? (Select all that apply)(Required) Pre-placement (readiness, job search, placement) Pre-ETS (job exploration, WBLEs, postsecondary counseling, etc.) Supported Employment Customized Employment Postsecondary Education or Training On-the-Job Training Disability-related skills (O&M, independent living/blindness skills) Benefits Counseling Assistive/Rehab Technology Other Other:(Required)What are the top barriers limiting service delivery to the Cognitive/Intellectual and Developmental population? (Select up to three)(Required) Limited community awareness about agency services Staff engagement Transportation access Cross-agency coordination Timeliness of service delivery Provider availability/capacity Other Other:(Required)What should CBVI do to better reach and serve the Cognitive/Intellectual and Developmental population?(Required)For the Mental Health population, which services are most needed? (Select all that apply)(Required) Pre-placement (readiness, job search, placement) Pre-ETS (job exploration, WBLEs, postsecondary counseling, etc.) Supported Employment Customized Employment Postsecondary Education or Training On-the-Job Training Disability-related skills (O&M, independent living/blindness skills) Benefits Counseling Assistive/Rehab Technology Other Other:(Required)For the Mental Health population, which services are insufficiently available? (Select all that apply)(Required) Pre-placement (readiness, job search, placement) Pre-ETS (job exploration, WBLEs, postsecondary counseling, etc.) Supported Employment Customized Employment Postsecondary Education or Training On-the-Job Training Disability-related skills (O&M, independent living/blindness skills) Benefits Counseling Assistive/Rehab Technology Other Other:(Required)What are the top barriers limiting service delivery to the Mental Health population? (Select up to three)(Required) Limited community awareness about agency services Staff engagement Transportation access Cross-agency coordination Timeliness of service delivery Provider availability/capacity Other Other:(Required)What should CBVI do to better reach and serve the Mental Health population?(Required)For the Deaf-Blind population, which services are most needed? (Select all that apply)(Required) Pre-placement (readiness, job search, placement) Pre-ETS (job exploration, WBLEs, postsecondary counseling, etc.) Supported Employment Customized Employment Postsecondary Education or Training On-the-Job Training Disability-related skills (O&M, independent living/blindness skills) Benefits Counseling Assistive/Rehab Technology Other Other:(Required)For the Deaf-Blind population, which services are insufficiently available? (Select all that apply)(Required) Pre-placement (readiness, job search, placement) Pre-ETS (job exploration, WBLEs, postsecondary counseling, etc.) Supported Employment Customized Employment Postsecondary Education or Training On-the-Job Training Disability-related skills (O&M, independent living/blindness skills) Benefits Counseling Assistive/Rehab Technology Other Other:(Required)What are the top barriers limiting service delivery to the Deaf-Blind population? (Select up to three)(Required) Limited community awareness about agency services Staff engagement Transportation access Cross-agency coordination Timeliness of service delivery Provider availability/capacity Other Other:(Required)What should CBVI do to better reach and serve the Deaf-Blind population?(Required)For the Physical/Mobility population, which services are most needed? (Select all that apply)(Required) Pre-placement (readiness, job search, placement) Pre-ETS (job exploration, WBLEs, postsecondary counseling, etc.) Supported Employment Customized Employment Postsecondary Education or Training On-the-Job Training Disability-related skills (O&M, independent living/blindness skills) Benefits Counseling Assistive/Rehab Technology Other Other:(Required)For the Physical/Mobility population, which services are insufficiently available? (Select all that apply)(Required) Pre-placement (readiness, job search, placement) Pre-ETS (job exploration, WBLEs, postsecondary counseling, etc.) Supported Employment Customized Employment Postsecondary Education or Training On-the-Job Training Disability-related skills (O&M, independent living/blindness skills) Benefits Counseling Assistive/Rehab Technology Other Other:(Required)What are the top barriers limiting service delivery to the Physical/Mobility population? (Select up to three)(Required) Limited community awareness about agency services Staff engagement Transportation access Cross-agency coordination Timeliness of service delivery Provider availability/capacity Other Other:(Required)What should CBVI do to better reach and serve the Physical/Mobility population?(Required)For the Health/Medical population, which services are most needed? (Select all that apply)(Required) Pre-placement (readiness, job search, placement) Pre-ETS (job exploration, WBLEs, postsecondary counseling, etc.) Supported Employment Customized Employment Postsecondary Education or Training On-the-Job Training Disability-related skills (O&M, independent living/blindness skills) Benefits Counseling Assistive/Rehab Technology Other Other:(Required)For the Health/Medical population, which services are insufficiently available? (Select all that apply)(Required) Pre-placement (readiness, job search, placement) Pre-ETS (job exploration, WBLEs, postsecondary counseling, etc.) Supported Employment Customized Employment Postsecondary Education or Training On-the-Job Training Disability-related skills (O&M, independent living/blindness skills) Benefits Counseling Assistive/Rehab Technology Other Other:(Required)What are the top barriers limiting service delivery to the Health/Medical population? (Select up to three)(Required) Limited community awareness about agency services Staff engagement Transportation access Cross-agency coordination Timeliness of service delivery Provider availability/capacity Other Other:(Required)What should CBVI do to better reach and serve the Health/Medical population?(Required)For the Other Disability population(s), which services are most needed? (Select all that apply)(Required) Pre-placement (readiness, job search, placement) Pre-ETS (job exploration, WBLEs, postsecondary counseling, etc.) Supported Employment Customized Employment Postsecondary Education or Training On-the-Job Training Disability-related skills (O&M, independent living/blindness skills) Benefits Counseling Assistive/Rehab Technology Other Other:(Required)For the Other Disability population(s), which services are insufficiently available? (Select all that apply)(Required) Pre-placement (readiness, job search, placement) Pre-ETS (job exploration, WBLEs, postsecondary counseling, etc.) Supported Employment Customized Employment Postsecondary Education or Training On-the-Job Training Disability-related skills (O&M, independent living/blindness skills) Benefits Counseling Assistive/Rehab Technology Other Other:(Required)What are the top barriers limiting service delivery to the Other Disability population(s)? (Select up to three)(Required) Limited community awareness about agency services Staff engagement Transportation access Cross-agency coordination Timeliness of service delivery Provider availability/capacity Other Other:(Required)What should CBVI do to better reach and serve the Other Disability population(s)?(Required)Which geographic areas are underserved? (Select all that apply)(Required) Northern NJ Central NJ Southern NJ Rural Suburban Urban Other Other:(Required)For the Northern NJ population, which services are most needed? (Select all that apply)(Required) Pre-placement (readiness, job search, placement) Pre-ETS (job exploration, WBLEs, postsecondary counseling, etc.) Supported Employment Customized Employment Postsecondary Education or Training On-the-Job Training Disability-related skills (O&M, independent living/blindness skills) Benefits Counseling Assistive/Rehab Technology Other Other:(Required)For the Northern NJ population, which services are insufficiently available? (Select all that apply)(Required) Pre-placement (readiness, job search, placement) Pre-ETS (job exploration, WBLEs, postsecondary counseling, etc.) Supported Employment Customized Employment Postsecondary Education or Training On-the-Job Training Disability-related skills (O&M, independent living/blindness skills) Benefits Counseling Assistive/Rehab Technology Other Other:(Required)What are the top barriers limiting service delivery to the Northern NJ population? (Select up to three)(Required) Limited community awareness about agency services Staff engagement Transportation access Cross-agency coordination Timeliness of service delivery Provider availability/capacity Other Other:(Required)What should CBVI do to better reach and serve the Northern NJ population?(Required)For the Central NJ population, which services are most needed? (Select all that apply)(Required) Pre-placement (readiness, job search, placement) Pre-ETS (job exploration, WBLEs, postsecondary counseling, etc.) Supported Employment Customized Employment Postsecondary Education or Training On-the-Job Training Disability-related skills (O&M, independent living/blindness skills) Benefits Counseling Assistive/Rehab Technology Other Other:(Required)For the Central NJ population, which services are insufficiently available? (Select all that apply)(Required) Pre-placement (readiness, job search, placement) Pre-ETS (job exploration, WBLEs, postsecondary counseling, etc.) Supported Employment Customized Employment Postsecondary Education or Training On-the-Job Training Disability-related skills (O&M, independent living/blindness skills) Benefits Counseling Assistive/Rehab Technology Other Other:(Required)What are the top barriers limiting service delivery to the Central NJ population? (Select up to three)(Required) Limited community awareness about agency services Staff engagement Transportation access Cross-agency coordination Timeliness of service delivery Provider availability/capacity Other Other:(Required)What should CBVI do to better reach and serve the Central NJ population?(Required)For the Southern NJ population, which services are most needed? (Select all that apply)(Required) Pre-placement (readiness, job search, placement) Pre-ETS (job exploration, WBLEs, postsecondary counseling, etc.) Supported Employment Customized Employment Postsecondary Education or Training On-the-Job Training Disability-related skills (O&M, independent living/blindness skills) Benefits Counseling Assistive/Rehab Technology Other Other:(Required)For the Southern NJ population, which services are insufficiently available? (Select all that apply)(Required) Pre-placement (readiness, job search, placement) Pre-ETS (job exploration, WBLEs, postsecondary counseling, etc.) Supported Employment Customized Employment Postsecondary Education or Training On-the-Job Training Disability-related skills (O&M, independent living/blindness skills) Benefits Counseling Assistive/Rehab Technology Other Other:(Required)What are the top barriers limiting service delivery to the Southern NJ population? (Select up to three)(Required) Limited community awareness about agency services Staff engagement Transportation access Cross-agency coordination Timeliness of service delivery Provider availability/capacity Other Other:(Required)What should CBVI do to better reach and serve the Southern NJ population?(Required)For the Rural population, which services are most needed? (Select all that apply)(Required) Pre-placement (readiness, job search, placement) Pre-ETS (job exploration, WBLEs, postsecondary counseling, etc.) Supported Employment Customized Employment Postsecondary Education or Training On-the-Job Training Disability-related skills (O&M, independent living/blindness skills) Benefits Counseling Assistive/Rehab Technology Other Other:(Required)For the Rural population, which services are insufficiently available? (Select all that apply)(Required) Pre-placement (readiness, job search, placement) Pre-ETS (job exploration, WBLEs, postsecondary counseling, etc.) Supported Employment Customized Employment Postsecondary Education or Training On-the-Job Training Disability-related skills (O&M, independent living/blindness skills) Benefits Counseling Assistive/Rehab Technology Other Other:(Required)What are the top barriers limiting service delivery to the Rural population? (Select up to three)(Required) Limited community awareness about agency services Staff engagement Transportation access Cross-agency coordination Timeliness of service delivery Provider availability/capacity Other Other:(Required)What should CBVI do to better reach and serve the Rural population?(Required)For the Suburban population, which services are most needed? (Select all that apply)(Required) Pre-placement (readiness, job search, placement) Pre-ETS (job exploration, WBLEs, postsecondary counseling, etc.) Supported Employment Customized Employment Postsecondary Education or Training On-the-Job Training Disability-related skills (O&M, independent living/blindness skills) Benefits Counseling Assistive/Rehab Technology Other Other:(Required)For the Suburban population, which services are insufficiently available? (Select all that apply)(Required) Pre-placement (readiness, job search, placement) Pre-ETS (job exploration, WBLEs, postsecondary counseling, etc.) Supported Employment Customized Employment Postsecondary Education or Training On-the-Job Training Disability-related skills (O&M, independent living/blindness skills) Benefits Counseling Assistive/Rehab Technology Other Other:(Required)What are the top barriers limiting service delivery to the Suburban population? (Select up to three)(Required) Limited community awareness about agency services Staff engagement Transportation access Cross-agency coordination Timeliness of service delivery Provider availability/capacity Other Other:(Required)What should CBVI do to better reach and serve the Suburban population?(Required)For the Urban population, which services are most needed? (Select all that apply)(Required) Pre-placement (readiness, job search, placement) Pre-ETS (job exploration, WBLEs, postsecondary counseling, etc.) Supported Employment Customized Employment Postsecondary Education or Training On-the-Job Training Disability-related skills (O&M, independent living/blindness skills) Benefits Counseling Assistive/Rehab Technology Other Other:(Required)For the Urban population, which services are insufficiently available? (Select all that apply)(Required) Pre-placement (readiness, job search, placement) Pre-ETS (job exploration, WBLEs, postsecondary counseling, etc.) Supported Employment Customized Employment Postsecondary Education or Training On-the-Job Training Disability-related skills (O&M, independent living/blindness skills) Benefits Counseling Assistive/Rehab Technology Other Other:(Required)What are the top barriers limiting service delivery to the Urban population? (Select up to three)(Required) Limited community awareness about agency services Staff engagement Transportation access Cross-agency coordination Timeliness of service delivery Provider availability/capacity Other Other:(Required)What should CBVI do to better reach and serve the Urban population?(Required)For the Other Geographic population(s), which services are most needed? (Select all that apply)(Required) Pre-placement (readiness, job search, placement) Pre-ETS (job exploration, WBLEs, postsecondary counseling, etc.) Supported Employment Customized Employment Postsecondary Education or Training On-the-Job Training Disability-related skills (O&M, independent living/blindness skills) Benefits Counseling Assistive/Rehab Technology Other Other:(Required)For the Other Geographic population(s), which services are insufficiently available? (Select all that apply)(Required) Pre-placement (readiness, job search, placement) Pre-ETS (job exploration, WBLEs, postsecondary counseling, etc.) Supported Employment Customized Employment Postsecondary Education or Training On-the-Job Training Disability-related skills (O&M, independent living/blindness skills) Benefits Counseling Assistive/Rehab Technology Other Other:(Required)What are the top barriers limiting service delivery to the Other Geographic population(s)? (Select up to three)(Required) Limited community awareness about agency services Staff engagement Transportation access Cross-agency coordination Timeliness of service delivery Provider availability/capacity Other Other:(Required)What should CBVI do to better reach and serve the Other Geographic population(s)?(Required)Which age groups are underserved? (Select all that apply)(Required) Children (Birth - 13) Transition-Age Students (14-21) who may want/need Pre-Employment Transition Services (Pre-ETS) Transition-Age Youth (14-24) who are not students Adults (25–64) Older Workers (65+) For the Children (Birth - 13) population, which services are most needed? (Select all that apply)(Required) Pre-placement (readiness, job search, placement) Pre-ETS (job exploration, WBLEs, postsecondary counseling, etc.) Supported Employment Customized Employment Postsecondary Education or Training On-the-Job Training Disability-related skills (O&M, independent living/blindness skills) Benefits Counseling Assistive/Rehab Technology Other Other:(Required)For the Children (Birth - 13) population, which services are insufficiently available? (Select all that apply)(Required) Pre-placement (readiness, job search, placement) Pre-ETS (job exploration, WBLEs, postsecondary counseling, etc.) Supported Employment Customized Employment Postsecondary Education or Training On-the-Job Training Disability-related skills (O&M, independent living/blindness skills) Benefits Counseling Assistive/Rehab Technology Other Other:(Required)What are the top barriers limiting service delivery to the Children (Birth - 13) population? (Select up to three)(Required) Limited community awareness about agency services Staff engagement Transportation access Cross-agency coordination Timeliness of service delivery Provider availability/capacity Other Other:(Required)What should CBVI do to better reach and serve the Children (Birth - 13) population?(Required)For the Transition-Age Students (14-21) who may want/need Pre-Employment Transition Services (Pre-ETS) population, which services are most needed? (Select all that apply)(Required) Pre-placement (readiness, job search, placement) Pre-ETS (job exploration, WBLEs, postsecondary counseling, etc.) Supported Employment Customized Employment Postsecondary Education or Training On-the-Job Training Disability-related skills (O&M, independent living/blindness skills) Benefits Counseling Assistive/Rehab Technology Other Other:(Required)For the Transition-Age Students (14-21) who may want/need Pre-Employment Transition Services (Pre-ETS) population, which services are insufficiently available? (Select all that apply)(Required) Pre-placement (readiness, job search, placement) Pre-ETS (job exploration, WBLEs, postsecondary counseling, etc.) Supported Employment Customized Employment Postsecondary Education or Training On-the-Job Training Disability-related skills (O&M, independent living/blindness skills) Benefits Counseling Assistive/Rehab Technology Other Other:(Required)What are the top barriers limiting service delivery to the Transition-Age Students (14-21) who may want/need Pre-Employment Transition Services (Pre-ETS) population? (Select up to three)(Required) Limited community awareness about agency services Staff engagement Transportation access Cross-agency coordination Timeliness of service delivery Provider availability/capacity Other Other:(Required)What should CBVI do to better reach and serve the Transition-Age Students (14-21) who may want/need Pre-Employment Transition Services (Pre-ETS) population?(Required)For the Transition-Age Youth (14-24) who are not students population, which services are most needed? (Select all that apply)(Required) Pre-placement (readiness, job search, placement) Pre-ETS (job exploration, WBLEs, postsecondary counseling, etc.) Supported Employment Customized Employment Postsecondary Education or Training On-the-Job Training Disability-related skills (O&M, independent living/blindness skills) Benefits Counseling Assistive/Rehab Technology Other Other:(Required)For the Transition-Age Youth (14-24) who are not students population, which services are insufficiently available? (Select all that apply)(Required) Pre-placement (readiness, job search, placement) Pre-ETS (job exploration, WBLEs, postsecondary counseling, etc.) Supported Employment Customized Employment Postsecondary Education or Training On-the-Job Training Disability-related skills (O&M, independent living/blindness skills) Benefits Counseling Assistive/Rehab Technology Other Other:(Required)What are the top barriers limiting service delivery to the Transition-Age Youth (14-24) who are not students population? (Select up to three)(Required) Limited community awareness about agency services Staff engagement Transportation access Cross-agency coordination Timeliness of service delivery Provider availability/capacity Other Other:(Required)What should CBVI do to better reach and serve the Transition-Age Youth (14-24) who are not students population?(Required)For the Adults (25–64) population, which services are most needed? (Select all that apply)(Required) Pre-placement (readiness, job search, placement) Pre-ETS (job exploration, WBLEs, postsecondary counseling, etc.) Supported Employment Customized Employment Postsecondary Education or Training On-the-Job Training Disability-related skills (O&M, independent living/blindness skills) Benefits Counseling Assistive/Rehab Technology Other Other:(Required)For the Adults (25–64) population, which services are insufficiently available? (Select all that apply)(Required) Pre-placement (readiness, job search, placement) Pre-ETS (job exploration, WBLEs, postsecondary counseling, etc.) Supported Employment Customized Employment Postsecondary Education or Training On-the-Job Training Disability-related skills (O&M, independent living/blindness skills) Benefits Counseling Assistive/Rehab Technology Other Other:(Required)What are the top barriers limiting service delivery to the Adults (25–64) population? (Select up to three)(Required) Limited community awareness about agency services Staff engagement Transportation access Cross-agency coordination Timeliness of service delivery Provider availability/capacity Other Other:(Required)What should CBVI do to better reach and serve the Adults (25–64) population?(Required)For the Older Workers (65+) population, which services are most needed? (Select all that apply)(Required) Pre-placement (readiness, job search, placement) Pre-ETS (job exploration, WBLEs, postsecondary counseling, etc.) Supported Employment Customized Employment Postsecondary Education or Training On-the-Job Training Disability-related skills (O&M, independent living/blindness skills) Benefits Counseling Assistive/Rehab Technology Other Other:(Required)For the Older Workers (65+) population, which services are insufficiently available? (Select all that apply)(Required) Pre-placement (readiness, job search, placement) Pre-ETS (job exploration, WBLEs, postsecondary counseling, etc.) Supported Employment Customized Employment Postsecondary Education or Training On-the-Job Training Disability-related skills (O&M, independent living/blindness skills) Benefits Counseling Assistive/Rehab Technology Other Other:(Required)What are the top barriers limiting service delivery to the Older Workers (65+) population? (Select up to three)(Required) Limited community awareness about agency services Staff engagement Transportation access Cross-agency coordination Timeliness of service delivery Provider availability/capacity Other Other:(Required)What should CBVI do to better reach and serve the Older Workers (65+) population?(Required)If you selected Transition-Age Students (14-21), please answer the following: Outreach to students with disabilities and their families is effective.(Required)Strongly AgreeAgreeDisagreeStrongly DisagreeDoes Not ApplyIf you selected Transition-Age Students (14-21), please answer the following: Pre-ETS services provided are effective.(Required)Strongly AgreeAgreeDisagreeStrongly DisagreeDoes Not ApplyIf you selected Transition-Age Students (14-21), please answer the following: Coordination between CBVI and schools (LEAs) is effective.(Required)Strongly AgreeAgreeDisagreeStrongly DisagreeDoes Not ApplyIf you selected Transition-Age Students (14-21), please answer the following: Does CBVI need additional Pre-ETS services?(Required) Yes No Don't Know Which additional Pre-ETS services are needed?(Required)How can services for Transition-Age Students (14-21) who may want/need Pre-Employment Transition Services (Pre-ETS) be improved?(Required)If you selected Transition-Age Youth (14-24), please answer the following: What are the challenges with serving Transition-Age Youth?(Required)If you selected Transition-Age Youth (14-24), please answer the following: Are there young people or communities CBVI is not reaching who could benefit? If yes, please describe.(Required) Section 6: Service Quality & OutcomesInstructions: Please respond based on your experience within the last 6–12 months. Use the 4-point scale below where indicated and select "Does Not Apply" when an item does not apply.CBVI-funded services support consumers to achieve employment and independence goals.(Required)Strongly AgreeAgreeDisagreeStrongly DisagreeDoes Not ApplyConsumers referred by CBVI are prepared for the services we provide (e.g., have needed assessments, goals, contact info).(Required)Strongly AgreeAgreeDisagreeStrongly DisagreeDoes Not ApplyWhat gaps in service quality affect consumer outcomes?(Required)What supports or training would help providers and CBVI staff better serve people from diverse backgrounds?(Required) Section 7: Final ThoughtsWhat is working well in your relationship with CBVI?(Required)What needs improvement in your relationship with CBVI?(Required)What additional resources, tools, or support would help your organization serve consumers more effectively?(Required) Δ
