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0%
 
 
The amount of work I am expected to do on my job is reasonable.
 
Strongly Disagree
 
Disagree
 
Neutral
 
Agree
 
Strongly Agree
 
N/A
 
 
 
I am satisfied with the priorities and direction of my department.
 
Strongly Disagree
 
Disagree
 
Neutral
 
Agree
 
Strongly Agree
 
N/A
 
 
 
I have adequate information available which enables me to do my job well.
 
Strongly Disagree
 
Disagree
 
Neutral
 
Agree
 
Strongly Agree
 
N/A
 
 
 
We operate in a cost-efficient way in my department.
 
Strongly Disagree
 
Disagree
 
Neutral
 
Agree
 
Strongly Agree
 
N/A
 
 
 
I understand the day-to-day goals of my department.
 
Strongly Disagree
 
Disagree
 
Neutral
 
Agree
 
Strongly Agree
 
N/A
 
 
 
Diverse perspectives are valued and encouraged within the department.
 
Strongly Disagree
 
Disagree
 
Neutral
 
Agree
 
Strongly Agree
 
N/A
 
 
 
Considering everything, how satisfied are you with your job?
 
Very Dissatisfied
 
Somewhat Dissatisfied
 
Neutral
 
Somewhat Satisfied
 
Very Satisfied
 
Not Sure
 
 
 
My work group has a climate in which diverse perspectives are valued.
 
Strongly Disagree
 
Disagree
 
Neutral
 
Agree
 
Strongly Agree
 
 
 
[COMPANY] policies and procedures make sense to me.

 
Strongly Disagree
 
Disagree
 
Neutral
 
Agree
 
Strongly Agree
 
N/A
 
 
 
Individual differences are respected here(e.g., gender, race, educational background, etc.)
 
Strongly Disagree
 
Disagree
 
Neutral
 
Agree
 
Strongly Agree
 
N/A
 
 
 
Which of the following best describes your position here?
 
Clerical
 
Technician
 
Managerial
 
Accounting
 
Project Management
 
Other
 
 
 
Do you feel that employees are recognized as individuals?
 
Always
 
Usually
 
Sometimes
 
Rarely
 
Never
 
Not sure
 
 
 
The company clearly communicates its goals and strategies to me?
 
Strongly disagree
 
Somewhat disagree
 
Don't agree or disagree
 
Somewhat agree
 
Strongly agree
 
 
 
How flexible is the company with respect to your family responsibilities?
 
Very inflexible
 
Somewhat inflexible
 
Neither
 
Somewhat flexible
 
Very flexible
 
 
 
Would you refer a friend to apply for a job at this company?
 
Definitely
 
Probably
 
Not sure
 
Probably not
 
Definitely not
 
 
 
Which of the following describes the variety of tasks required by your position?
 
Too many
 
Enough
 
Not enough
 
 
 
I receive enough opportunity to interact with other employees on a formal level.

 
Strongly disagree
 
Somewhat disagree
 
Neither agree nor disagree
 
Somewhat agree
 
Strongly agree
 
 
 
I have a clear path for career advancement?


 
Strongly disagree
 
Somewhat disagree
 
Neither agree nor disagree
 
Somewhat agree
 
Strongly agree
 
 
 
My job requirements are clear




 
Strongly disagree
 
Somewhat disagree
 
Neither agree nor disagree
 
Somewhat agree
 
Strongly agree
 
 
How would you rate your manager in each of the following areas? Please assign a rating on a scale from 1 to 5, where 1 represents "Poor" and 5 represents "Excellent".
Poor    Average    Good    Very Good    Excellent   
Communication
Planning and organizing
Directing and coordinating
Job/Technical knowledge
Interpersonal relationship
 
 
 
My department encourages teamwork.
 
Strongly Disagree
 
Somewhat Disagree
 
Neutral
 
Somewhat Agree
 
Strongly Agree
 
N/A
 
 
 
Team members are held accountable for the decisions they make.
 
Strongly Disagree
 
Somewhat Disagree
 
Undecided
 
Somewhat Agree
 
Strongly Agree
 
 
 
Work assignments are distributed fairly.
 
Strongly Disagree
 
Somewhat Disagree
 
Undecided
 
Somewhat Agree
 
Strongly Agree
 
 
 
Sufficient effort is made to get the opinions and ideas of the employees.

 
Strongly Disagree
 
Somewhat Disagree
 
Neutral
 
Somewhat Agree
 
Strongly Agree
 
N/A
 
 
 
There is good alignment between my department and other with whom I need to coordinate.

 
Strongly Disagree
 
Somewhat Disagree
 
Neutral
 
Somewhat Agree
 
Strongly Agree
 
N/A
 
 
 
Overall, how satisfied are you with the spirit of teamwork within [Company].



 
Dissatisfied
 
Somewhat dissatisfied
 
Neutral
 
Satisfied
 
Very Satisfied
 
N/A
 
 
Tell us how well the following statements apply to your immediate boss/superior.
Strongly Disagree Disagree Neither Agree or Disagree Agree Strongly Agree
My supervisor is knowledgeable about my work
My supervisor takes time to listen to me
My supervisor gives me fair reviews
My supervisor has reasonable expectations of my work
My supervisor is willing to promote me
My supervisor trains me in whenever necessary
My supervisor makes sure I have sufficient training
 
 
 
Overall, how satisfied are you with the company you work for?
 
Extremely Dissatisfied
 
Very Dissatisfied
 
Neither Satisfied nor Dissatisfied
 
Very Satisfied
 
Extremely Satisfied
 
 
Please rate your satisfaction with employee benefits and policies of your organization.
Not At All Satisfied Somewhat Dissatisfied Neither Satisfied nor Dissatisfied Somewhat Satisfied Very Satisfied
Accuracy of job description
Salary reviews
Adequate information on promotion is provided
Leaves of absence
Health care benefits
Retirement benefits
Listening to the employee in employer/employee disputes
 
 
 
How well do you believe your manager lives by your company's ethic?
 
Extremely well
 
Very well
 
Sometimes does, sometimes doesn't
 
Not very well
 
Doesn't abide by own philosophy at all
 
 
 
What does your boss/supervisor do to keep your moral high?
   
 
 
 
What suggestions do you have for your boss/supervisor that would help him/her be a more effective manager?
   
 
 
 
If you have ever offered suggestions to management, how satisfied were you with the response?
 
Never offered a suggestion
 
Not at all satisfied
 
Not very satisfied
 
Somewhat satisfied
 
Very satisfied
 
 
 
What suggestions would you make to improve company/employee relations?
   
 
 
 
How long have you been working for the company?
 
Less than a year
 
1-2 years
 
3-5 years
 
6-10 years
 
More than 10 years
 
 
 
Not   
important   
Don't   
care   
Somewhat   
important   
Important    Very
important
You are provided with challenging assignments
You are paid for overtime hours worked
You work on assignments you can be proud of
You can work flexible hours
You have access to IT specific training
The job provides a high salary
Training is emphasized
You get regular feedback on your work
There is a cordial work atmosphere
Creative solutions are encouraged
You can work on a variety of projects
The strategic role of IT is emphasized
 
 
Please indicate how SATISFIED you are with each of the following factors in your current job.
Not    
satisfied    
Neutral     Somewhat    
satisfied    
Satisfied     Very    
satisfied    
There is little or no travel
You are treated with respect
There is not a lot of overtime
You have supportive, effective management
You are provided with an enclosed, personal office
You are provided with full health benefits
You get a raise in salary after training is completed
You are provided with full reimbursement for training expenses
There is a cordial dress code
There are opportunities for advancement
You are provided with free parking
There is a formal training program
You are reimbursed for moving expenses
 
 
 
If you could make one change in your job, what would it be?
   
 
 
 
Please give some meaningful feedback to this manager about his or her basic communications skills:
   
 
 
 
What is/are the most stressful aspect(s) of your job?
   
 
 

How would you rate the level of your job stress?
 
Mild
 
Moderate
 
Severe
 
Extreme
 
 

How many attempts have you made to relieve your job stress or solve the problem causing it?
 
None
 
One
 
Two
 
Three or more
 
 

Is your job stress caused by your relationship with another person you work with?
 
Yes
 
No
 
 

If your job stress doesn't involve another person, is it caused by the:
 
Volume of work
 
Nature of the job and its responsibilities
 
Physical work environment
 
Personal health issue
 
Other
 
 
 
Overall, how satisfied are you with communications in your company?
 
Very satisfied
 
Satisfied
 
Neutral
 
Dissatisfied
 
Very dissatisfied
 
 
 
How well do you feel you know the company?
 
I know the company very well.
 
I know a fair amount about the company.
 
I know just a little about the company.
 
I know almost nothing about the company.
 
Knowing about the company is not important to me.
 
 
 
Compared with a year ago, how would you rate your knowledge of the company, its strategies, and its ongoing accomplishments?
 
Much more knowledgeable
 
Somewhat more knowledgeable
 
Same level of knowledge
 
Somewhat less knowledgeable
 
Much less knowledgeable
 
 
 
For which information items do you believe it is very important that you receive communications about:
 
The company's strategies for the future
 
Products and services of the company
 
The overall financial picture of the company
 
The company's capabilities
 
Human resources process
 
Benefits
 
Compensation and bonus programs
 
Technology developments
 
Issues and trends affecting our business
 
Key customer business issues
 
Company success stories
 
Competitive initiatives
 
Marketing programs
 
Government affairs affecting the company
 
Community involvement

 
 
 
From which of the following sources do you now receive most of your information about what is going on in the company? Rank your top three information sources only.
The grapevine
Bulletin board
My supervisor
Company leadership
Group meetings at our work location
Local company publications
Company intranet
Company e-mail
Voice-mail announcements
 
 
 
From which of the following sources would you prefer to receive most of your information about what is going on in the company?
 
The grapevine
 
Bulletin board
 
My supervisor
 
Middle management at my location
 
Top management at my location
 
Company leadership
 
Group meetings at our work location
 
Local company publications
 
Publication A
 
Publication B
 
Publication C
 
Publication D
 
Company intranet
 
Company e-mail
 
Voice-mail announcements
 
Company video magazine
 
 

How would you rate your manager's communication skills?
 
Excellent
 
Very good
 
Good
 
Fair
 
Poor
 
 
 
My department responds promptly to client requests, despite a busy workload.
 
Strongly Disagree
 
Somewhat Disagree
 
Neutral
 
Somewhat Agree
 
Strongly Agree
 
N/A
 
 
 
My work group consistently provides courteous service even when the client is unreasonable
 
Strongly Disagree
 
Somewhat Disagree
 
Neutral
 
Somewhat Agree
 
Strongly Agree
 
N/A
 
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