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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
 
 
 
What does your boss/supervisor do to keep your moral high?
   
 
 
 
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
 
 
 
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
 
 
 
What is your job function?
 
Non-supervisory Staff
 
Supervisor
 
Functional Manager
 
Department Manager
 
Senior Management/Director/Vice President
 
Senior Executive/Chief Officer/Executive Vice President
 
 
 
Do you feel that employees are recognized as individuals?
 
Always
 
Usually
 
Sometimes
 
Rarely
 
Never
 
Not sure
 
 
 
How motivated are you to see the company succeed?
 
Very motivated
 
Somewhat motivated
 
Not very motivated
 
Not at all motivated
 
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
 
 
 
The company clearly communicates its goals and strategies to me?
 
Strongly disagree
 
Somewhat disagree
 
Neither agree nor disagree
 
Somewhat agree
 
Strongly agree
 
 
 
Which of the following describes the variety of tasks required by your position?
 
Too many
 
Enough
 
Not enough
 
 
 
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
 
 
 
What is your gender?
 
Male
 
Female
 
 
Very   
satisfied   
Somewhat   
satisfied   
Neutral     Somewhat  
dissatisfied    
Very    
dissatisfied    
N/A
Salary
Benefits
Frequency and amount of bonuses
Connection between pay and performance
Security and administration of your 401(k)/stock options/pension plans
Workload
Flexibility of work hours
Physical working environment
Opportunity for advancement
Job security
Very   
satisfied   
Somewhat   
satisfied   
Neutral     Somewhat  
dissatisfied    
Very    
dissatisfied    
N/A
Ability to influence decisions that affect you
Ability to influence day-to-day company success
Opportunity to use new technologies
Opportunity to work on interesting projects
Access to company-sponsored training and seminars
Communication with your supervisor
Recognition received from your supervisor
Your supervisor's management capabilities
Your supervisor's active involvement in your career development
Your overall relationship with your supervisor
Your relationship with your peers
Your relationship with customers/clients/end users
Your understanding of the business mission
Your overall satisfaction with your company
Overall satisfaction with your job
 
 

Your Manager:
Strongly   
agree   
Agree    Neutral    Disagree    Strongly   
disagree   
N/A
Effectively leads the department
Communicates well with subordinates
Recognizes good work
Has good leadership qualities
 
 
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
 
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