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Employee Name
   
 
 
 
Work Space
 
 
 
1. Which days of the week are you usually in the office? Check all that apply.
 
Monday
 
Tuesday
 
Wednesday
 
Thursday
 
Friday

 
 
 
2. Do you have enough storage at your work space?
 
Yes
 
No
 
 
 
3. Is the noise level in the office appropriate for the work that you do?
 
Yes
 
Sometimes
 
No
 
 
 
4. Is the atmosphere conducive to productivity?
 
Yes
 
Sort of
 
No
 
 
 
5. What else could we provide/do that would make your work space better?
   
 
 
 
6. What else could we provide/do that would make the office better (in general)?
   
 
 
 
Conference Rooms
 
 
 
7. How often do you schedule a conference room for a meeting?
 
multiple times a day
 
once a day
 
once a week
 
not at all
 
 
 
8. How do you primarily schedule a conference room?
 
Outlook
 
Salesforce
 
I don't know how to schedule a conference room
 
 
 
9. Are the conference rooms available when you need them?
 
Usually
 
Sometimes
 
Not at all
 
 
 
10. If people are using a conference room, how do you check the availability?
 
Outlook
 
Salesforce
 
I don't know how to check for availability
 
 
 
11. Which conference room is most difficult to schedule?
 
Large conference room
 
Small conference room
 
Both are difficult to schedule
 
 
 
12. Do the conference rooms contain all of the resources and tools you need to conduct and participate in meetings?
 
Yes
 
No
 
 
 
13. Do you utilize the open seating area near the Finance office/printer room?
 
Yes
 
No
 
 
 
Work Environment
 
 
 
14. Do you prefer a more formal or informal work environment?
 
formal - more structure and processes in place
 
informal - more spontaneity and business flexibility
 
 
 
15. Do you have any suggestions for decorating the office? Would you prefer it to show more about the company as a whole or about the individuals in the company?
   
 
 
 
16. If there was a space where people could work standing up for a period of time, would you utilize it?
 
Yes
 
No
 
 
 
If yes, select the frequency that best applies.
 
daily
 
a few times a week
 
a few times a month
 
 
 
17. If there was a common area for employees to place bags, boxes and work materials so there was less in the shared areas, would that be helpful to you?
 
Yes
 
No
 
 
 
18. How often do you have external clients visiting you at the office?
 
1 day/week
 
2-3 days/week
 
4-5 days/week
 
 
 
Kitchen and Eating
 
 
 
1. Please check all that apply regarding how and where you primarily eat lunch/meals at the office.
 
I purchase lunch/meals
 
I bring my own food to work
 
I eat food outside of the office (at restaurant, in the courtyard, etc.)
 
I eat in the kitchen
 
I eat at my desk
 
I eat in a conference room
 
I eat the chocolate from the candy jar

 
 
 
2. If you bring food from home, please select the one that best applies.
 
I bring food 1 day/week
 
I bring food 2-3 days/week
 
I bring food 4-5 days/week
 
 
 
3. When I bring food, I use the microwave:
 
everytime
 
sometimes
 
not at all
 
 
 
4. Would you enjoy a communal lunch once a month where everyone brings a dish?
 
Yes
 
No
 
 
 
Supplies
 
 
 
5. Can you find supplies easily?
 
Yes
 
No
 
 
 
6. Are we missing any supplies you regularly use?
 
Yes
 
No
 
 
 
Technology
 
 
 
1. Have we met your technology needs to support your work while in the office?
 
 
 
Access and ease of use: printing/copying/scanning/faxing
 
Yes
 
No
 
 
 
Access and ease of use: wireless Internet/Ethernet connection
 
Yes
 
No
 
 
 
Access and ease of use: conference bridge lines
 
Yes
 
No
 
 
 
Ability to make phone calls  using a Pivot provided cell phone
 
Yes
 
No
 
 
 
Ability to make phone calls from your desk phone
 
Yes
 
No
 
 
 
Ability to join/participate in a video conferencing sessions)e.g. Google Hangout or WebEx)
 
Yes
 
No
 
 
 
If you selected no for any of the above, please explain why.
   
 
 
 
2. Which type of connection do you use most while in the office?
 
wireless Internet
 
Ethernet connection
 
I don't know
 
 
 
3. Which type of phone do you use the most to make your business calls while in the office?
 
cell
 
telephone (landline)
 
I use them equally