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The amount of work I am expected to do on my job is reasonable.
 
Strongly Disagree
 
Disagree
 
Neutral
 
Agree
 
Strongly Agree
 
N/A
 
 
 
My job requirements are clear




 
Strongly disagree
 
Somewhat disagree
 
Neither agree nor disagree
 
Somewhat agree
 
Strongly agree
 
 
 
The physical working conditions(e.g., ventilation, space, cleanliness) are very good.
 
Strongly Disagree
 
Disagree
 
Neutral
 
Agree
 
Strongly Agree
 
N/A
 
 
 
Considering everything, how satisfied are you with your job?
 
Very Dissatisfied
 
Somewhat Dissatisfied
 
Neutral
 
Somewhat Satisfied
 
Very Satisfied
 
Not Sure
 
 
 
Overall, how satisfied are you with the company you work for?
 
Extremely Dissatisfied
 
Very Dissatisfied
 
Neither Satisfied nor Dissatisfied
 
Very Satisfied
 
Extremely Satisfied
 
 
 
How motivated are you to see the company succeed?
 
Very motivated
 
Somewhat motivated
 
Not very motivated
 
Not at all motivated
 
Not sure
 
 
 
Would you refer a friend to apply for a job at this company?
 
Definitely
 
Probably
 
Not sure
 
Probably not
 
Definitely not
 
 
 
What is the best thing about working for this company?
   
 
 
 
What could the company do to enhance your satisfaction as a company employee?
   
 
 
 
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
 
 

Your Manager:
Strongly   
agree   
Agree    Neutral    Disagree    Strongly   
disagree   
N/A
Effectively leads the department
Communicates well with subordinates
Recognizes good work
Has good leadership qualities
 
 
 
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
 
 
 
My immediate supervisor is impartial.
 
Strongly Disagree
 
Somewhat Disagree
 
Neutral
 
Somewhat Agree
 
Strongly Agree
 
N/A
 
 
 
My immediate supervisor gives me feedback that helps me improve my performance.
 
Strongly Disagree
 
Somewhat Disagree
 
Neutral
 
Somewhat Agree
 
Strongly Agree
 
N/A
 
 
 
My immediate supervisor follows through on commitments.
 
Strongly Disagree
 
Somewhat Disagree
 
Neutral
 
Somewhat Agree
 
Strongly Agree
 
N/A
 
 
 
I receive coaching and training from my immediate supervisor.
 
Strongly Disagree
 
Somewhat Disagree
 
Neutral
 
Somewhat Agree
 
Strongly Agree
 
N/A
 
 
 
My immediate supervisor is usually available.

 
Strongly Disagree
 
Somewhat Disagree
 
Neutral
 
Somewhat Agree
 
Strongly Agree
 
N/A
 
 
 
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 immediate supervisor creates a vision and strategy for my area.
 
Strongly Disagree
 
Somewhat Disagree
 
Undecided
 
Somewhat Agree
 
Strongly Agree
 
 
 
Overall, how satisfied are you with the job being done by your immediate supervisor.
 
Very Dissatisfied
 
Soemwhat Dissatisfied
 
Undecided
 
Somewhat Satisfied
 
Very Satisfied
 
 
 
What suggestions do you have for your boss/supervisor that would help him/her be a more effective manager?
   
 
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