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2012
May
E
evaluace
evaluace
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What is your gender?
Male
Female
What is your marital status?
Single (Never married)
Married
Domestic partnership
Widowed
Divorced
Separated
Don’t know
What is your favorite hobby or interest?
Auto racing
Biking
Boating
Bowling
Camping
Crafts
Dancing
Fine Arts
Fishing
Gambling
Gardening
Hiking
Hunting
Horseback riding
Kayaking
Martial Arts
Music
Photography
Reading
Sports
Travel
Other
What is your age?
Younger than 18
18 - 24
25 - 34
35 - 44
45 - 54
55 - 64
65 or older
Prefer not to answer
How would you rate your level of satisfaction with us?
Highly satisfied
Somewhat satisfied
Neutral
Somewhat dissatisfied
Highly dissatisfied
How would you rate your overall level of satisfaction with us?
Highly satisfied
Somewhat satisfied
Neutral
Somewhat dissatisfied
Highly dissatisfied
Comment:
What are your reasons for leaving this company? (Check all that apply)
Higher Pay
Benefits
Better job opportunity
Commute
Conflict with other employees
Conflict with managers
Family and personal reasons
Relocation/Move
Career Change
Company Instability
Other
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
Overall, how satisfied are you with the company you work for?
Extremely Dissatisfied
Very Dissatisfied
Neither Satisfied nor Dissatisfied
Very Satisfied
Extremely Satisfied
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