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Tell us how well the following statements apply to your immediate boss/superior.
Strongly Disagree Disagree Neither Agree or Disagree Agree Strongly Agree
My supervisor is knowledgeable about my work
My supervisor takes time to listen to me
My supervisor gives me fair reviews
My supervisor has reasonable expectations of my work
My supervisor is willing to promote me
My supervisor trains me in whenever necessary
My supervisor makes sure I have sufficient training
 
 
 
Overall, how satisfied are you with the company you work for?
 
Extremely Dissatisfied
 
Very Dissatisfied
 
Neither Satisfied nor Dissatisfied
 
Very Satisfied
 
Extremely Satisfied
 
 
Please rate your satisfaction with employee benefits and policies of your organization.
Not At All Satisfied Somewhat Dissatisfied Neither Satisfied nor Dissatisfied Somewhat Satisfied Very Satisfied
Accuracy of job description
Salary reviews
Adequate information on promotion is provided
Leaves of absence
Health care benefits
Retirement benefits
Listening to the employee in employer/employee disputes
 
 
 
What does your boss/supervisor do to keep your moral high?
   
 
 
 
What suggestions do you have for your boss/supervisor that would help him/her be a more effective manager?
   
 
 
 
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
 
 
 
What suggestions would you make to improve company/employee relations?
   
 
 
 
How long have you been working for the company?
 
Less than a year
 
1-2 years
 
3-5 years
 
6-10 years
 
More than 10 years
 
 
 
Strongly Disagree Disagree Neither Agree nor Disagree Agree Strongly Agree
I feel encouraged to come up with new and better ways of doing things.
My work gives me a feeling of personal accomplishment.
I have the tools and resources to do my job well.
On my job, I have clearly defined quality goals.
The Company does an excellent job of keeping employees informed about matters affecting us.
When a customer is dissatisfied, I can usually correct the problem to their satisfaction.
I understand why it is so important for (Company name) to value diversity (to recognize and respect the value of differences in race, gender, age, etc.)
My job makes good use of my skills and abilities.
My supervisor's manager visibly demonstrates a commitment to quality.
Senior managers visibly demonstrate a commitment to quality.
How satisfied are you with the information you receive from management on what is going on in your division?
How satisfied are you with your involvement in decisions that affect your work?
Considering everything, how satisfied are you with your job?
How satisfied are you with the information you receive from management on what's going on in the company?
How satisfied are you with your opportunity to get a better job in this company?
 
 
 
Overall, how satisfied are you with communications in your company?
 
Very satisfied
 
Satisfied
 
Neutral
 
Dissatisfied
 
Very dissatisfied
 
 
 
How well do you feel you know the company?
 
I know the company very well.
 
I know a fair amount about the company.
 
I know just a little about the company.
 
I know almost nothing about the company.
 
Knowing about the company is not important to me.
 
 
 
From which of the following sources do you now receive most of your information about what is going on in the company? Rank your top three information sources only.
The grapevine
Bulletin board
My supervisor
Company leadership
Group meetings at our work location
Local company publications
Company intranet
Company e-mail
Voice-mail announcements
 
 
 
Very Dissatisfied Somewhat dissatisfied Neutral Satisfied Very Satisfied N/A
I have the support and authority to make the decisions necessary for accomplishing assigned task.

My department uses employee feedback to make improvements.

I have enough involvement in decisions that affect my work.

This is the type of job in which I can feel a sense of accomplishment.

The work I do makes a difference here.

I understand how my work contributes to the company's overall goals and strategy.

I feel valued as a team member.
I receive encouragement to come up with new and better ways of doing things.

Overall, how satisfied are you with the recognition you receive for doing a good job?
 
 
 
My immediate supervisor follows through on commitments.
 
Strongly Disagree
 
Somewhat Disagree
 
Neutral
 
Somewhat Agree
 
Strongly Agree
 
N/A
 
 
 
I recieve credit from my immediate supervisor for a job well done.


 
Strongly Disagree
 
Somewhat Disagree
 
Undecided
 
Somewhat Agree
 
Strongly Agree
 
 
 
I feel my job perfomance is fairly evaluated.



 
Strongly Disagree
 
Somewhat Disagree
 
Undecided
 
Somewhat Agree
 
Strongly Agree
 
 
 
My immediate supervisor tries to understand my point of view when he or she discusses problems or projects with me.
 
Strongly Disagree
 
Somewhat Disagree
 
Undecided
 
Somewhat Agree
 
Strongly Agree
 
 
 
My department encourages teamwork.
 
Strongly Disagree
 
Somewhat Disagree
 
Neutral
 
Somewhat Agree
 
Strongly Agree
 
N/A
 
 
 
Work assignments are distributed fairly.
 
Strongly Disagree
 
Somewhat Disagree
 
Undecided
 
Somewhat Agree
 
Strongly Agree
 
 
 
Sufficient effort is made to get the opinions and ideas of the employees.

 
Strongly Disagree
 
Somewhat Disagree
 
Neutral
 
Somewhat Agree
 
Strongly Agree
 
N/A
 
 
 
My department knows enough about other related departments within the company.



 
Strongly Disagree
 
Somewhat Disagree
 
Neutral
 
Somewhat Agree
 
Strongly Agree
 
N/A
 
 
 
Overall, how satisfied are you with the spirit of teamwork within [Company].



 
Dissatisfied
 
Somewhat dissatisfied
 
Neutral
 
Satisfied
 
Very Satisfied
 
N/A
 
 
 
Companies policies and procedures make sense to me.
 
Strongly Disagree
 
Somewhat Disagree
 
Undecided
 
Somewhat Agree
 
Strongly Agree
 
 
 
The physical working conditions (e.g., heating, ventilation, space, cleanliness) are very good.
 
Strongly Disagree
 
Somewhat Disagree
 
Undecided
 
Somewhat Agree
 
Strongly Agree
 
 
 
Individual differences are respected here(e.g.,gender,race educational background, etc.)

 
Strongly Disagree
 
Somewhat Disagree
 
Undecided
 
Somewhat Agree
 
Strongly Agree
 
 
 
Employees feel secure about their jobs at this company.
 
Strongly Disagree
 
Somewhat Disagree
 
Undecided
 
Somewhat Agree
 
Strongly Agree
 
 
 
I believe I will be working for [Company]in five years.


 
Strongly Disagree
 
Somewhat Disagree
 
Undecided
 
Somewhat Agree
 
Strongly Agree
 
 
 
I would recommend [Company] as a career to my friends.




 
Strongly Disagree
 
Somewhat Disagree
 
Undecided
 
Somewhat Agree
 
Strongly Agree
 
 
 
There are more positive than negative aspects to my job.
 
Strongly Disagree
 
Disagree
 
Neutral
 
Agree
 
Strongly Agree
 
 
 
What are some of the most positive aspects of your job?
   
 
 
 
What are some negative aspects about your job?
   
 
 
 
What aspects of the job bother you enough to make you consider quitting?
   
 
 
 
What is/are the most stressful aspect(s) of your job?
   
 
 

How long have you had this particular job stress?
 
Less Than A Month
 
1-3 Months
 
4-6 Months
 
6 months - 1 year
 
More than 1 year
 
 

How would you rate the level of your job stress?
 
Mild
 
Moderate
 
Severe
 
Extreme
 
 

How many attempts have you made to relieve your job stress or solve the problem causing it?
 
None
 
One
 
Two
 
Three or more
 
 

Is your job stress caused by your relationship with another person you work with?
 
Yes
 
No
 
 

If your job stress doesn't involve another person, is it caused by the:
 
Volume of work
 
Nature of the job and its responsibilities
 
Physical work environment
 
Personal health issue
 
Other
 
 
 
What are the positive aspects of your job?
   
 
 
 
Productive time spent working on the tasks assigned to me.
 
Almost all of the time
 
Most of the time
 
Half of the time
 
1/4th of the time
 
less than 1/4th of the time
 
 
 
Going beyond what is expected of me to make customers happy



 
Yes, I always do so
 
Yes, occasionally
 
I work as much as is expected of me
 
I work less than what is expected of me
 
 
 
I respond quickly and courteously to fulfill customers' needs



 
Strongly Disagree
 
Somewhat Disagree
 
Neutral
 
Somewhat Agree
 
Strongly Agree
 
N/A
 
 
 
The overall quality of service that I provide is:



 
Excellent
 
Good
 
Average
 
Below average
 
Poor
 
N/A
 
 
 
What would help you to be more productive and provide higher quality service?
   
 
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