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Hello:
You are invited to participate in our survey [Project Description Here]. In this survey, approximately [Approximate Respondents] people will be asked to complete a survey that asks questions about [General Survey Process]. It will take approximately [Approximate Time] minutes to complete the questionnaire.

Your participation in this study is completely voluntary. There are no foreseeable risks associated with this project. However, if you feel uncomfortable answering any questions, you can withdraw from the survey at any point. It is very important for us to learn your opinions.

Your survey responses will be strictly confidential and data from this research will be reported only in the aggregate. Your information will be coded and will remain confidential. If you have questions at any time about the survey or the procedures, you may contact [Name of Survey Researcher] at [Phone Number] or by email at the email address specified below.

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My organization shows concern for me.
 
Strongly agree
 
Moderately agree
 
Neutral
 
Modrately disagree
 
Strongly disagree
 
 
 
My organization cares about my general satisfaction at work.
 
Weekly
 
Monthly
 
Quarterly
 
Annually
 
 
 
My organization really cares about my well-being.
 
Weekly
 
Monthly
 
Quarterly
 
Annually
 
 
Section A: The following statements ask about your organization. Please select your response from Strongly Disagree = 1 to Strongly Agree = 7 presented below and enter the corresponding number in the space to the left of each statement.
Very Unsatisfied Unsatisfied Neutral Satisfied Very Satisfied
My organization shows concern for me.
My organization cares about my general satisfaction at work.
My organization really cares about my well-being.
My organization strongly considers my goals and values.
My organization cares about my opinion.
 
 
 
Comments/Suggestions:
   
 
 
Section B: The following statements ask about your manager. Please select your response from Strongly Disagree = 1 to Strongly Agree = 7 presented below and enter the corresponding number in the space to the left of each statement.
Very Unsatisfied Unsatisfied Neutral Satisfied Very Satisfied N/A
I like my manager very much as a person.
My manager is the kind of person one would like to have as a friend.
My manager is a lot of fun to work with.
My manager defends my work actions to a superior, even without complete knowledge of the issue in question.
My manager would come to my defense if I were “attacked” by others.
My manager would defend me to others in the organization if I made an honest mistake.
I do work for my manager that goes beyond what is specified in my job description.
I am willing to apply extra efforts, beyond those normally required, to meet my manager’s work goals.
I do not mind working my hardest for my manager.
I am impressed with my manager’s knowledge of his/her job.
I respect my manager’s knowledge and competence on the job.
I admire my manager’s professional skills.