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Which of the following best describes your position here?
 
Clerical
 
Technician
 
Managerial
 
Accounting
 
Project Management
 
Other
 
 
 
How long have you worked at (company)?
 
Less than 6 months
 
6 months - 1 year
 
1-2 YEARS
 
1-2 years
 
3-5 years
 
More than 5 years
 
 
 
Overall how satisfied are you with your position at this company?
 
Very dissatisfied
 
Somewhat dissatisfied
 
Not satisfied or dissatisfied
 
Somewhat Satisfied
 
Very satisfied
 
 
 
Please indicate your level of agreement with each of the following statements.
 
 
 
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
 
 
 
Would you refer a friend to apply for a job at this company?
 
Definitely
 
Probably
 
Not sure
 
Probably not
 
Definitely not
 
 
 
Have you ever observed or experienced any of the following forms of discrimination or harassment at this company?
 
Racial discrimination
 
Sexual harassment
 
Age discrimination
 
Gender discrimination
 
Sexual orientation discrimination
 
No, none of the above have been observed or experienced
 
 
 
Which of the following describes the variety of tasks required by your position?
 
Too many
 
Enough
 
Not enough
 
 
 
I receive enough opportunity to interact with other employees on a formal level.

 
Strongly disagree
 
Somewhat disagree
 
Neither agree nor disagree
 
Somewhat agree
 
Strongly agree
 
 
 
How would you rate (Company) on each of the following?
 
 
 
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
 
 
 
Please indicate your level of agreement with each of the following statements
 
 
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
 
 
 
Overall, how satisfied are you with your job?

 
Dissatisfied
 
Somewhat dissatisfied
 
Neutral
 
Satisfied
 
Very Satisfied
 
 
 
Compared to a year ago how would you describe your current job satisfaction level?
 
Much less satisfied
 
Somewhat less satisfied
 
Same
 
Somewhat more satisfied
 
Much more satisfied
 
 
How do you feel about the following statements about the company?
Strongly disagree    Somewhat disagree    Neutral    Agree    Strongly Agree    N/A
Company leadership has made changes which are positive for me.
Company leadership is responding to the important external issues.
Company leadership is responding to the important internal issues.
I am enthusiastic about the change in the company.
I am personally committed to the changes being implemented in the company.
 
 
How satisfied are you...
Very dissatisfied     Somewhat dissatisfied     Neutral     Somewhat satisfied     Very satisfied     N/A
With the leaders in your company as positive role models?
Your direct supervisor as a positive role model?
That your supervisor cares about and is responding to the issues that are important to you?
With your own morale?
With the morale of your co-workers?
With the team spirit in your work environment.
With the professionalism of your co-workers?
That your work gives you a feeling of personal accomplishment?
That you receive appropriate recognition for your contributions?
With the empowerment you have to influence the quality of your work?
With your ability to maintain a reasonable balance between your family life and your work life.
That your compensation matches your responsibilities?
With your overall job security?
With the amount and frequency of informal praise and appreciation you receive from your supervisor?
With the company as a place to work?
 
 
 
What is the best thing about working for this company?
   
 
 
 
What bothers you the most about working for this company?
   
 
 
 
What could the company do to enhance your satisfaction as a company employee?
   
 
 
 
The amount of work I am expected to do on my job is reasonable.
 
Strongly Disagree
 
Disagree
 
Neutral
 
Agree
 
Strongly Agree
 
N/A
 
 
 
I have adequate information available which enables me to do my job well.
 
Strongly Disagree
 
Disagree
 
Neutral
 
Agree
 
Strongly Agree
 
N/A
 
 
 
[COMPANY] policies and procedures make sense to me.

 
Strongly Disagree
 
Disagree
 
Neutral
 
Agree
 
Strongly Agree
 
N/A
 
 
 
The physical working conditions(e.g., ventilation, space, cleanliness) are very good.
 
Strongly Disagree
 
Disagree
 
Neutral
 
Agree
 
Strongly Agree
 
N/A
 
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