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How long have you worked at (company)?

Less than 6 months

6 months - 1 year

1-2 years

2-3 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?

As an employee, what type of recognition motivates you more?

Recognition by supervisor / peers

Company recognition

Financial recognition

Paid time off

I do not require recognition

In order of importance please indicate what type(s) of recognition is of most importance to you.

_______Recognition by supervisor

_______Recognition by company

_______Monetary recognition

_______Benefit recognition (PTO, etc)

_______Award

_______Other (Please describe)______________________________

How flexible is the company with respect to your family responsibilities?

Do you take part in company sponsored programs or activities?

Yes

Sometimes

Rarely

No

Would you refer a friend to apply for a job at this company?

In regards to your job, do you view it as:

Exciting

Stimulating

Rewarding

Mundane

Boring

Other (please explain)_____________________________________________________

The nature of my work is challenging and keeps me motivated.

Which of the following describes the variety of tasks required by your position?

Too many

Enough

Not enough

I have a clear path for career advancement?

My job requirements are clear

How would you rate your level of Agreement with each of the following statements? Please assign a rating on a scale from 1 to 5, where 1 represents "Poor" and 5 represents "Excellent".

To help us improve overall employee satisfaction, please provide any additional comments, suggests or concerns you may have

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