SAMPLE Questionnaire

New Mexico

Visitor’s Name: _________________________________________________________________________

Visitor’s email: ___________________________________ Phone: _______________________________

Address: ______________________________________________________________________________

One Stop Career Center Visited (Circle One): Alamogordo, Albuquerque, Artesia, Carlsbad, Clovis, Deming, Espanola, Farmington, Gallup, Grants, Hobbs, Las Cruces, Las Vegas, Portales, Raton, Rio Rancho, Roswell, Ruidoso, Santa Fe, Silver City, Socorro, Taos, Tucumcari, Valencia

Date: Visited: __________________________________________________________________________

Accessibility:

1. Is the Center in an easy to find, central location in the heart of you town? (Circle One)

Yes No

Comments:

2. Is there a sign on the street that says that this is the “One-Stop Career Center”? (Circle One)

Yes No

Comments:

2a. If yes, is the sign and lettering/pictures big enough to see and be read from the street? (Circle One)

Yes No

Comments:

3. Is the Center on a bus route (or other public transportation route)? (circle One)

Yes No

Comments:

4. Does the neighborhood where the Center is located feel safe to you? (Circle One)

Yes No

Comments:

5. Are there enough parking spaces (including Handicapped) in the parking lot? (Circle One)

Yes No

Comments:

6. Is the surface of the parking lot easy to walk on? (Circle One)

Yes No

Comments: