AFGE, Women’s and Fair Practices Departments
Survey for Workers with Disabilities
NVP for Women and Fair Practices Andrea Brooks has heard the voice of AFGE members! We are taking the challenge to hold the federal and D.C. governments accountable for their treatment of employees with disabilities and their failure to remove barriers to equal employment opportunities. Please help us evaluate their treatment of workers and right these wrongs!
If you would like to help please complete this survey and contact your District Women’s and Fair Practices’ Coordinators or the Women’s and Fair Practices Departments’ staff.
Special Instructions:
Please answer all the questions presented in sections A-G. If any of the questions are not applicable or the answers are unknown, please place “N/A” in the appropriate place. Send the completed survey by April 30, 2008 to eeo@afge.org , fax to 202-639-4112, or mail it to WFP, 80 F Street, N.W. Washington, D.C. 20001
Name: _______________________ Work Phone: ________________________
AFGE Local No.:______________ Home Phone: ________________________
District ____ Agency ______________ Home Email Address: _________________
A. General/Background Questions
1. Current job title: ________________________________
2. How many years have you been in your current position? _____ Current grade _____ Step _______
3. How many years have you been employed at that grade level? _________ Your Gender ___________
4. Are you 40 years of age or older? _________ 5. What is your race/ethnicity? ___________________
6. Do you suffer from any type of disability? ____________
a. If so, what is the nature of your disability? (optional) __________________________________________________________________________________
7. Have you applied for a promotion within your position within the past five years? ___________________
a. Have you received any promotions? _______________
b. If not, when were you denied the promotion and for what grade level(s)? _______________________
c. If not, what was management’s reason for denying your promotion?_________________________________________________________________________
B. Policies
1. Does your agency have any written policies governing the employment of disabled individuals? (e.g.
Reasonable Accommodations Policy). _____. If so, please describe them:
___________________________________________________________________________________
___________________________________________________________________________________
a. If so, Please state how the policy defines “disabled” ______________________________________
___________________________________________________________________________________
2. Are copies of the policies made available to all employees? _____ If so, in what format (online, hard
copy, an alternative format for the disabled, etc.)? _____________________________________________
3. Does your agency have an ADA office or a person responsible for implementing policies in furtherance
of ADA enforcement? _______ If so, please identify the person or office: ______________________
______________________________________________________________________________________
______________________________________________________________________________________
a. Is this person accessible to the employees? __________ If no, why not? ________________________
_____________________________________________________________________________________
4. Has the Union been involved in the policy implementation process? ________ If no, why not?
____________________________________________________________________________________
____________________________________________________________________________________
5. Are employees trained on or informed of their rights and the agency’s obligations regarding disabilities issues or legal requirements? ______ If so, describe the training used or means of obtaining information:
_____________________________________________________________________________________
_____________________________________________________________________________________
6. Is this policy implementation process effective? ______ If no, why not? __________________________
_____________________________________________________________________________________
C. Disability and Reasonable Accommodations
1. Do you know the factors your agency considers when deciding if someone is disabled? ______ If yes,
please describe:
_____________________________________________________________________________________
_____________________________________________________________________________________
2. Do you believe that disabled employees know that they may request an accommodation from management for their disability? ______ If no, why not? _____________________________________________________________________________________
_____________________________________________________________________________________
3. Do you know your agency’s procedures for requesting an accommodation? ________ If no, where can you go to get assistance?
_____________________________________________________________________________________
4. Do you know what factors are considered when determining whether to provide a reasonable accommodation? _____ If so, please identify them: _____________________________________________________________________________________
_____________________________________________________________________________________
5. Do you know who determines whether to provide a request for a reasonable accommodation? ____ If so, please state the name(s) of the person(s) or office. _____________________________________________________________________________________
_____________________________________________________________________________________
6. Please list the accommodations you know have been provided or denied to individuals with disabilities in the past? _____________________________________________________________________________________
_____________________________________________________________________________________
7. On average, how long does your agency take to provide an accommodation? _____________________________________________________________________________________
______________________________________________________________________________________
8. Do you know if any disabled employees in your agency have had to purchase their own equipment or supplies so that they could perform the essential functions of their position? ______ If so, describe the equipment or supplies.
_____________________________________________________________________________________
_____________________________________________________________________________________
D. Interaction with Management
1. Are persons with disabilities hired, promoted, or rewarded with the same regularity as other non-disabled
employees? ______ If no, how are they treated differently?
_____________________________________________________________________________________
______________________________________________________________________________________
2. Do you know of any employee(s) with disabilities who have been placed on performance improvement plans or separated? ______ If yes, provide the name(s) and whether your union was included in defending employee(s) in the process? __________________________________________________________________________________
__________________________________________________________________________________
3. Do you believe managers participate in back and forth conversations with any disabled employees to determine how to accommodate their medical appointments, and/or the accommodations they need to perform their job? _______ If no, why not?_____________________________________________
__________________________________________________________________________________
a. Is your union included in this process? ______
E. Access
__________________________________________________________________________________
_________________________________________________________________________________
___________________________________________________________________________
F. General
___________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
G. Reports
If NOT, ASK!
Thanks for helping us help you!