| RPT |
|Perceived Employment Barriers Scale (PEBS-27)
| Gender: <.Patient_Gender.>
|<*Answer_7771*>
|
| The range for the total score and each subscale is 1-5.
| Higher scores indicate higher perception of Employment Barriers.
|
| If the Veteran completed the Employment Hope Scale (EHS-14) today, you
| can use that to calculate the Psychological Self-Sufficiency Score by
| subtracting the PEBS total score from the EHS total score.
|
|
|
|Questions and Answers:
|
| 1. Having less than high school education
| <*Answer_8665*>
| 2. Work limiting health conditions (illness / injury)
| <*Answer_8666*>
| 3. Lack of adequate job skills
| <*Answer_8667*>
| 4. Lack of job experience
| Date Given: <.Date_Given.>
| <*Answer_8668*>
| 5. Transportation
| <*Answer_8669*>
| 6. Child care
| <*Answer_8670*>
| 7. Racial discrimination
| <*Answer_8671*>
| 8. Lack of information about jobs
| <*Answer_8672*>
| 9. Lack of stable housing
| Clinician: <.Staff_Ordered_By.>
| <*Answer_8673*>
| 10. Drug / alcohol addiction
| <*Answer_8674*>
| 11. Domestic violence
| <*Answer_8675*>
| 12. Physical disabilities
| <*Answer_8676*>
| 13. Mental illness
| <*Answer_8677*>
| 14. Fear of rejection
| Location: <.Location.>
| <*Answer_8678*>
| 15. Lack of work clothing
| <*Answer_8679*>
| 16. No jobs in the community
| <*Answer_8680*>
| 17. No jobs that match my skills / training
| <*Answer_8681*>
| 18. Being a single parent
| <*Answer_8682*>
| 19. Need to take care of young children
|
| <*Answer_8683*>
| 20. Cannot speak English very well
| <*Answer_8684*>
| 21. Cannot read or write very well
| <*Answer_8685*>
| 22. Problems with getting to job on time
| <*Answer_8686*>
| 23. Lack of confidence
| <*Answer_8687*>
| 24. Lack of support system
| Veteran: <.Patient_Name_Last_First.>
| <*Answer_8688*>
| 25. Lack of coping skills for daily struggles
| <*Answer_8689*>
| 26. Anger management
| <*Answer_8690*>
| 27. Past criminal record
| <*Answer_8691*>
|
|Information contained in this note is based on a self-report assessment
|and is not sufficient to use alone for diagnostic purposes. Assessment
| SSN: <.Patient_SSN.>
|results should be verified for accuracy and used in conjuncion with
|other diagnostic activities.
|
|Copyright @2017 Loyola University Chicago All Rights Reserved
| DOB: <.Patient_Date_Of_Birth.> (<.Patient_Age.>)
|
