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Questions marked with a * are required Exit Survey
 
 
* What is your gender?
 
Male
 
Female
 
 
 
* What is the highest level of Education you have attained?
 
GED
 
High School Diploma
 
Some College
 
Associates Degree
 
Bachelor’s Degree
 
Post Graduate
 
Other
 
 
 
 
* Do you hold a management or non-management position?
 
Management
 
non-Management
 
 
 
* Do you currently have a Telecommuting/Telework agreement in place?
 
 
 
(If you answered yes to the previous question, please answer N/A for the next 2 questions) If not, and you were given the opportunity, would you Telecommute
 
 
 
* How many days a week are you willing to work at home?
 
NA
 
1
 
2
 
3
 
4
 
5
 
6
 
7
 
 
 
Does the idea of working at home make you feel like you may not be able to finish your work on time?
 
Yes
 
No
 
 
 
* Please indicate which if any of the following office equipment you currently have in your home.
(Please choose all that apply)
 
Computer
 
Printer
 
Copy machine
 
Facsimile machine
 
Modem
 
Microsoft Office
 
Microsoft Works
 
None
 
Other
 

 
 
 
How often do you conduct surveys?
 
Weekly
 
Monthly
 
Quarterly
 
Annually