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If you’re looking for a solution to the ongoing DSP workforce crisis, GoodLife University is happy to help you. We’d like to get some information from you to make your custom workforce solution.

First, can we ask for your name, title, and agency name?

First Name*

Last Name*

Title*

Agency Name*

Which workforce problems keep you and your leadership up at night?

Select all that apply. If Other* Please continue

Which workforce problems keep you and your leadership up at night?*

Recruitment

Turnover

Scheduling

Overtime

Offering Competitive Wages

Unplanned Vacancies

Other

If other please enter below

Does your organization operate nationwide?

Does your organization operate nationwide?*

Yes

No

Which state do you operate in?

State 1

State 2

State 3

Add another state?

Yes

No

State 4

Which of these services does your organization provide?

Select all that apply. If other please continue.

Which of these services does your organization provide?*

Adult Day Services

Shared Living

Adult Residential

Other

Does your organization have physical day centers or community-based day services?

Select One

Select One*

Only physical day centers

Only community-based day services

Both physical and community-based day services

Not sure

How many physical day center locations does your organization have in total?

Untitled*

1

2

3

4+

If Your Organization Provides Something Else

Untitled*

Approximately how many shared living homes does your organization have?

Approximately how many adult residential homes do you have?*

Approximately how many adult residential homes do you have?

-*

If other, do you provide 24-hour adult residential services?

Do you provide 24-hour residential services?*

Yes

No

Do you provide 24-hour adult residential services?

Do you provide 24-hour residential services?*

Yes

No

Approximately, how many DSPs does your organization employ?

What is the approximate number of DSPs you manage?*

Is your organization unionized in any of the states that you operate in?

Untitled*

Yes

No

Lastly, we need a few more pieces of information to follow up with you about your solution.

Please provide below:

Email*

Phone:*

Preferred Method of Contact:

Preferred Method of Contact*

Text

Call

Email

Please enter any additional details:

Please enter any additional details

Email

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