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| Which of the following best describes your position here? |  
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| How long have you worked at (company)? |  
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| Overall how satisfied are you with your position at this company? |  
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| Do you feel that employees are recognized as individuals? |  
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| How motivated are you to see the company succeed?  |  
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| The company clearly communicates its goals and strategies to me? |  
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| How flexible is the company with respect to your family responsibilities? |  
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| Do you take part in your company's flextime program? |  
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| Would you refer a friend to apply for a job at this company? |  
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Have you ever observed or experienced any of the following forms of discrimination or harassment at this company?
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The company clearly communicates its goals and strategies to me?
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| Which of the following describes the variety of tasks required by your position? |  
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I receive enough opportunity to interact with other employees on a formal level.
 
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| How would you rate (Company) on each of the following? |  
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I have a clear path for career advancement?
 
 
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My job requirements are clear
 
 
 
 
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| 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".  
 |  
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 |   
                 
                
             | 
        
        
        
        
        
        
            
                | 
                       
                 | 
            
        
        
    
        
            
                
                
                       
|   |  
| Which of the following best describes your position here? |  
  |   |  
 |   
                 
                
             | 
        
        
        
        
        
        
            
                | 
                       
                 | 
            
        
        
    
        
            
                
                
                       
|   |  
| How long have you worked at (company)? |  
  |   |  
 |   
                 
                
             | 
        
        
        
        
        
        
            
                | 
                       
                 | 
            
        
        
    
        
            
                
                
                       
|   |  
| Overall how satisfied are you with your position at this company? |  
  |   |  
 |   
                 
                
             | 
        
        
        
        
        
        
            
                | 
                       
                 | 
            
        
        
    
        
            
                
                
                       
|   |  
| Do you feel that employees are recognized as individuals? |  
  |   |  
 |   
                 
                
             | 
        
        
        
        
        
        
            
                | 
                       
                 | 
            
        
        
    
        
            
                
                
                       
|   |  
| How motivated are you to see the company succeed?  |  
  |   |  
 |   
                 
                
             | 
        
        
        
        
        
        
            
                | 
                       
                 | 
            
        
        
    
        
            
                
                
                       
|   |  
| The company clearly communicates its goals and strategies to me? |  
  |   |  
 |   
                 
                
             | 
        
        
        
        
        
        
            
                | 
                       
                 | 
            
        
        
    
        
            
                
                
                       
|   |  
| How flexible is the company with respect to your family responsibilities? |  
  |   |  
 |   
                 
                
             | 
        
        
        
        
        
        
            
                | 
                       
                 | 
            
        
        
    
        
            
                
                
                       
|   |  
| Do you take part in your company's flextime program? |  
  |   |  
 |   
                 
                
             | 
        
        
        
        
        
        
            
                | 
                       
                 | 
            
        
        
    
        
            
                
                
                       
|   |  
| Would you refer a friend to apply for a job at this company? |  
  |   |  
 |   
                 
                
             | 
        
        
        
        
        
        
            
                | 
                       
                 | 
            
        
        
    
        
            
                
                
                       
|   |  
Have you ever observed or experienced any of the following forms of discrimination or harassment at this company?
  |  
  |   |  
 |   
                 
                
             | 
        
        
        
        
        
        
            
                | 
                       
                 | 
            
        
        
    
        
            
                
                
                       
|   |  
The company clearly communicates its goals and strategies to me?
  |  
  |   |  
 |   
                 
                
             | 
        
        
        
        
        
        
            
                | 
                       
                 | 
            
        
        
    
        
            
                
                
                       
|   |  
| Which of the following describes the variety of tasks required by your position? |  
  |   |  
 |   
                 
                
             | 
        
        
        
        
        
        
            
                | 
                       
                 | 
            
        
        
    
        
            
                
                
                       
|   |  
I receive enough opportunity to interact with other employees on a formal level.
 
  |  
  |   |  
 |   
                 
                
             | 
        
        
        
        
        
        
            
                | 
                       
                 | 
            
        
        
    
        
            
                
                
                       
|   |  
| How would you rate (Company) on each of the following? |  
  |   |  
 
                 
                
             | 
        
        
        
        
        
        
            
                | 
                       
                 | 
            
        
        
    
        
            
                
                
                       
|   |  
I have a clear path for career advancement?
 
 
  |  
  |   |  
 |   
                 
                
             | 
        
        
        
        
        
        
            
                | 
                       
                 | 
            
        
        
    
        
            
                
                
                       
|   |  
My job requirements are clear
 
 
 
 
  |  
  |   |  
 |   
                 
                
             | 
        
        
        
        
        
        
            
                | 
                       
                 | 
            
        
        
    
        
            
                
                
                       
| 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".  
 |  
  |  
 |   
                 
                
             | 
        
        
        
        
        
        
            
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