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* 1. How old are you? 
Please select one of the following
 
_____ Under 18 years
 
_____ Between 18 and 22 years
 
_____ Between 23 and 40 years
 
_____ Between 41 and 45 years
 
_____ Between 46 and 60 years
 
_____ Over 60 years
 
 
 
* 2. What is your gender?
Please select one of the following
 
_____ Female
 
_____ Male
 
 
 
* 3. Where do you currently reside?
Please state the country:
 
 
 
4. What is your current employment Status?
Please select one of the following
 
_____ Employed for wages
 
_____ Self-employed
 
_____ Out of work and looking for work
 
_____ Out of work but not currently looking for work
 
_____ A homemaker
 
_____ A student
 
_____ Military
 
_____ Retired
 
_____ Unable to work
 
 
5. How many hours do you work per week in average?
Please select one of the following
 
_____ Less than 37 hours
 
_____ Between 37 and 45 hours
 
_____ More than 45 hours
 
 
 
6. How long have you worked with your current employer/organisation?
Please select one of the following
 
_____ Less than 1 year
 
_____ Between 1 and 2 years
 
_____ Between 3 and 5 years
 
_____ Between 6 and 10 years
 
_____ Between 11 and 15 years
 
_____ Between 16 and 20 years
 
_____ Between 21 and 25 years
 
_____ More than 25 years
 
 
 
7. How long have you worked with your current supervisor?
1
 
 
 
48. Do you know where you stand with your supervisor . . do you usually know how satisfied your supervisor is with what you do?
1
 
 
 
49. How well does your supervisor understand your job problems and needs?
1
 
 
 
50. How well does your leader recognize your potential?
1
 
 
 
51. Regardless of how much formal authority he/she has built into his/her position, what are the chances that your supervisor would use his/her power to help you solve problems in your work?
1
 
 
 
52. Again, regardless of the amount of formal authority your supervisor has, what are the chances that he/she would “bail you out,” at his/her expense?
1
 
 
 
53. I have enough confidence in my supervisor that I would defend and justify his/her decision if he/she were not present to do so?
1
 
 
 
54. How would you characterize your working relationship with your supervisor?
1
 
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