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What is your gender?
Male Femaile
 
 
 
What is your age?
17 to 20 21 to 25 26 to 30 31 to 35 36 plus
 
 
 
How would you describe yourself?
American Indian / Native American Asian Black / African American Hispanic / Latino White / Caucasian Pacific Islander Other
 
 
 
How long have you been on you current job?
Less than 6 months 6 months to 1 year 1 to 3 years 4 to 6 years 7 plus years
 
 
 
What was the last grade you completed in school?
Some High School High School Graduate Some College College Graduate Postgraduate/Professional
 
 
 
 
What is your major (fill in the blank)?
   
 
 
Health
1-Strongly Agree 2-Agree 3-Somewhat Agree 4-Neither Agree or Disagree 5-Somewhat Disagree 6-Disgree 7-Strongly Disagree
Does health affect attendance?
Does health related absenses affect job performance?
Do physical & emotional confines affect job performance?
 
 
 
In the last year, how many times did you call in sick?
   
 
 
Training
1-Strongly Agree 2-Agree 3-Somewhat Agree 4-Neither Agree or Disagree 5-Somewhat Disagree 6-Disgree 7-Strongly Disagree
Does poor training affect job performance?
Is adequate training essential for performing your job well?
Does the type of training affect job performance (ie, hands-on)?
Does the training climate (too hot/too cold) affect job performance?
 
 
Job Performance
1-Strongly Agree 2-Agree 3-Somewhat Agree 4-Neither Agree or Disagree 5-Somewhat Disagree 6-Disgree 7-Strongly Disagree
Do you generally perform better than your peers?
Do you generally perform in the lower tier?
Employees should be penalized for poor job performance?
Employees should be rewarded for outstanding performance?
 
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