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| Please answer all questions honestly. Your answers will be kept strictly confidential. |  
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| Please select your department. |  
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|  How long have you worked at {YOUR COMPANY NAME}? |  
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| Overall, how satisfied are you with {YOUR COMPANY NAME}?  |  
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| Overall, my work experience at [YOUR COMPANY NAME] is satisfying and rewarding.  |  
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| I receive the right amount of recognition and acknowledgement from my manager. |  
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| There is effective communication within my department. |  
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| I feel challenged in my current position.  |  
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| Career advancement is possible here if openings occur. |  
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 |  Please enter any comments you may have on these topics.  |   |   |  
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| EMPLOYEE MANAGEMENT RELATIONS |  
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I am treated fairly at the company.
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| I feel comfortable going to my manager with any issues and/or concerns. |  
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| My manager is a good coach/mentor. |  
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 |  Please enter any comments you may have on management relations.  |   |   |  
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| I am fairly compensated for the work I do. |  
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| I feel I am rewarded when I go above and beyond what is expected in my job. |  
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 |  Please enter any comments you may have on your compensation.  |   |   |  
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| The company's total benefits program meets my needs. |  
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| The company's benefits program is competitive with others in the industry. |  
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 |  Please enter any comments you may have on company benefits.  |   |   |  
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