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2016
October
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Locus: Employee Benefits Survey Template
Locus: Employee Benefits Survey Template
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Exit Survey
Which of the following best describes the department you work in?
Customer Service
Finance/Accounting
MIS
Sales/Marketing
Corporate Marketing
Human Resources
Strongly Agree  
Agree  
Neutral  
Disagree  
Strongly Disagree  
If I do a good job I will be rewarded
I get what I need to do my job well
The conditions I work in are good
I feel stress in my job
I am interested in my job
Management makes wise decisions
I am proud to work for this company
Which of the following best describes your position here?
Clerical
Technician
Managerial
Accounting
Project Manager
Other
Weekly or more  
Often Monthly  
Quarterly  
Less than quarterly  
Never  
Personal Performance
Departmental Performance
Company Performance
Career Goals
How long have you worked at (company)?
Less than 6 months
6 months - 1 year
1-3 years
3-5 years
More than 5 years
Strongly Disagree
Somewhat Disagree
Neither agree or disagree
Somewhat Agree
Strongly Agree
The company tries to create an exciting work environment.
I receive enough opportunity to interact with other employees on a formal level.
I receive enough opportunity to interact with other employees on an informal level.
I feel a sense of completion with my job.
I have enough freedom in my position to take independent action when needed.
I have enough freedom in my position to do what is right for the customer.
Overall how satisfied are you with your position at this company?
Very dissatisfied
Somewhat dissatisfied
Not satisfied or dissatisfied
Somewhat Satisfied
Very satisfied
Do you feel that employees are recognized as individuals?
Always
Usually
Sometimes
Rarely
Never
Not sure
How motivated are you to see the company succeed?
Very motivated
Somewhat motivated
Not very motivated
Not at all motivated
Not sure
The company clearly communicates its goals and strategies to me.
Strongly disagree
Somewhat disagree
Don't agree or disagree
Somewhat agree
Strongly agree
How flexible is the company with respect to your family responsibilities?
Very inflexible
Somewhat inflexible
Neither
Somewhat flexible
Very flexible
Do you take part in your company's flextime program?
Yes
No
Would you refer a friend to apply for a job at this company?
Definitely
Probably
Not sure
Probably not
Definitely not
Have you ever observed or experienced any of the following forms of discrimination or harassment at this company?
Racial discrimination
Sexual harassment
Age discrimination
Gender discrimination
Sexual orientation discrimination
No, none of the above have been observed or experienced
The company clearly communicates its goals and strategies to me?
Strongly disagree
Somewhat disagree
Neither agree nor disagree
Somewhat agree
Strongly agree
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.
Strongly disagree
Somewhat disagree
Neither agree nor disagree
Somewhat agree
Strongly agree
My job requirements are clear.
Strongly disagree
Somewhat disagree
Neither agree nor disagree
Somewhat agree
Strongly agree
How would you rate your manager in each of the following areas? Please assign a rating on a scale from 1 to 5, where 1 represents "Poor" and 5 represents "Excellent".
Poor  
Average  
Good  
Very good  
Excellent  
Communication
Planning and organizing
Directing and coordinating
Job/Technical knowledge
Interpersonal relationship
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