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What is your position within the company?
 
Manager
 
Other
 
No answer
 
Other
 
 

For how long do you work for your company?
 
Less than 3 months
 
Between 3-6 months
 
Between 6-12 months
 
Between 1-2 years
 
Between 3-5 years
 
More than 5 years
 
No answer
 
Other
 
 

How was the initial training in your company?
 
Well below expectations
 
Below expectations
 
Meets expectations
 
Above expectations
 
Well above expectations
 
No training
 
Other
 
 

What is your yearly income?
 
Between $15,000-$20,000
 
Between $20,001-$25,000
 
Between $25,001-30,000
 
Between $30,001-$35,000
 
Above $40,000
 
I prefer not to answer
 
Other
 
 

Overall, how is the recognition that you receive from doing your job?
 
Well below expectations
 
Below expectations
 
Meets expectations
 
Above expectations
 
Well above expectations
 
What recognition?
 
Other
 
 

Overall, how are the rewards that you receive from doing your job?
 
Well below expectations
 
Below expectations
 
Meets expectations
 
Above expectations
 
Well above expectations
 
No rewards
 
Other
 
 

Overall, how is the balance between your job and the other parts of your life?
 
Well below expectations
 
Below expectations
 
Meets expectations
 
Above expectations
 
Well above expectations
 
No balance
 
No answer
 
Other
 
 

Management is commited to continuously improve the quality of products and services
 
Well below expectations
 
Below expectations
 
Meets expectations
 
Above expectations
 
Well above expectations
 
No commitment
 
Other
 
 

Overall, how are the recognition that you receive from doing your job?
 
Well below expectations
 
Below expectations
 
Meets expectations
 
Above expectations
 
Well above expectations
 
What recognition?
 
Other
 
 

How are the relationships with your collegues?
 
Bad
 
Improving
 
Good
 
It could be better
 
Great
 
No answer
 
Other
 
 

If everything other than pay were equivalent, how much of a percentage pay increase would it take for you to leave your current organization?
 
10 percent or less
 
11 - 20 percent
 
21 - 30 percent
 
31 - 40 percent
 
41 - 50 percent
 
51 - 60 percent
 
61 - 70 percent
 
71 - 80 percent
 
81 - 90 percent
 
91 - 100 percent
 
More than 100 percent
 
I do not care about money
 
I do not intend to leave
 
Other
 
 

Have you changed jobs in the last 12 months?
 
No
 
Once
 
2 times
 
3 times or more
 
4 times or more
 
No answer
 
Other
 
 
 
Please, write any comments you may have regarding management turnover
   
 
 
 
Have you ever ordered [PRODUCT] from [COMPANY]?
 
Yes
 
No
 
 
 
Overall, how would you rate [COMPANY]?
 
Excellent
 
Good
 
Average
 
Poor
 
Terrible
 
 
 
How satisfied are you with your service from [COMPANY]?
 
Extremely satisfied
 
Very satisfied
 
Neutral
 
Very dissatisfied
 
Extremely dissatisfied
 
 
 
Would you recommend [COMPANY] to a friend?
 
Yes
 
No
 
 
 
For your NEXT [PRODUCT] purchase, how likely are you to purchase from [COMPANY]?
 
Very likely
 
Somewhat likely
 
Not sure
 
Somewhat unlikely
 
Very unlikely
 
 
 
Which of the following modes did you use to place the LAST order for [PRODUCT]?
 
Mail order
 
Internet
 
Over the phone
 
Fax
 
Other
 
 
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