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* Name:
   
 
 
 
* What is the Job Title for your current position?
   
 
 
 
* Please list your current job responsibilities:
   
 
 
 
* At the end of a day, what accomplishments give you the most satisfaction in your current position?
   
 
 
 
* What specific metrics do you believe should be used to objectively evaluate your performance?
   
 
 
 
* Please describe the limits and the extent of authority you currently have in carrying out your job responsibilities.
   
 
 
 
* Please describe any changes in the limits and the extent of your authority that you believe would enable you to better carry out your job responsibilities:
   
 
 
 
* How effectively are your skills put to use at this company?
 
Extremely effectively
 
Very effectively
 
Moderately effectively
 
Slightly effectively
 
Not at all effectively
 
 
 
* Does your position provide opportunities for advancement?
 
Yes
 
No
 
 
 
* What additional skills would you like to acquire in order to develop your career?
   
 
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