Company and Supervisor Evaluation

* Which department do you work in?

How satisfied are you with the following:

	Strongly disagree	Disagree	Neither Agree or Disagree	Agree	Strongly Agree
* My supervisor listens and responds to my concerns

* Do you feel you can go to management (your direct supervisor or the business manager) with a problem?

* Communication between departments is well coordinated

* I feel my efforts are appreciated

* I feel respected by my co-workers

* I feel valued by my supervisor

* I feel my coworkers are respectful to me

* I receive adequate feedback on performance

* I feel I receive adequate recognition for good work

* I feel my department has sufficient amount of meetings

	Strongly disagree	Disagree	Neither Agree or Disagree	Agree	Strongly Agree
* I feel comfortable speaking openly with my supervisor

* I enjoy working at Sage

* I am treated fairly

* My co-workers and I work well as a team

* My supervisor and I have a good working relationship

* My supervisor has reasonable expectations of my work

* I feel I have an adequate work load

* My supervisor takes time to listen to me

* My supervisor addresses my concerns and questions promptly

* Please list any concerns or positive comments you wish to share regarding employment or supervisor.

* Please list and concerns or positive comments you wish to share regarding a provider or co-worker.

* Do you feel happy at Sage? If yes, What is the biggest contribution to your happiness. If no, what can Sage do to increase your satisfaction?

Any Additional Comments or Suggestions