| 
                       
|  |  | | Please answer all questions honestly. Your answers will be kept strictly confidential. | 
 |  |  |  | 
        
        
        
        
        
            
                |   | 
        
        
    
        
            | 
                       
|  |  | | Please select your department. | 
 |  |  |  |  |  | 
        
        
        
        
        
            
                |   | 
        
        
    
        
            | 
                       
|  |  | | How long have you worked at {YOUR COMPANY NAME}? | 
 |  |  |  |  |  | 
        
        
        
        
        
            
                |   | 
        
        
    
        
            | 
                       
|  |  | | Overall, how satisfied are you with {YOUR COMPANY NAME}? | 
 |  |  |  |  |  | 
        
        
        
        
        
        
    
        
            |  | 
        
        
        
        
        
            
                |   | 
        
        
    
        
            |  | 
        
        
        
        
        
            
                |   | 
        
        
    
        
            | 
                       
|  |  | | Overall, my work experience at [YOUR COMPANY NAME] is satisfying and rewarding. | 
 |  |  |  |  |  | 
        
        
        
        
        
            
                |   | 
        
        
    
        
            | 
                       
|  |  | | I receive the right amount of recognition and acknowledgement from my manager. | 
 |  |  |  |  |  | 
        
        
        
        
        
            
                |   | 
        
        
    
        
            | 
                       
|  |  | | There is effective communication within my department. | 
 |  |  |  |  |  | 
        
        
        
        
        
            
                |   | 
        
        
    
        
            | 
                       
|  |  | | I feel challenged in my current position. | 
 |  |  |  |  |  | 
        
        
        
        
        
            
                |   | 
        
        
    
        
            | 
                       
|  |  | | Career advancement is possible here if openings occur. | 
 |  |  |  |  |  | 
        
        
        
        
        
            
                |   | 
        
        
    
        
            | 
                       
|  |  | |  |  | Please enter any comments you may have on these topics. |  |  |  |  | 
 |  | 
        
        
        
        
        
            
                |   | 
        
        
    
        
            | 
                       
|  |  | | EMPLOYEE MANAGEMENT RELATIONS | 
 |  |  |  | 
        
        
        
        
        
            
                |   | 
        
        
    
        
            | 
                       
|  |  | | I am treated fairly at the company. 
 | 
 |  |  |  |  |  | 
        
        
        
        
        
            
                |   | 
        
        
    
        
            | 
                       
|  |  | | I feel comfortable going to my manager with any issues and/or concerns. | 
 |  |  |  |  |  | 
        
        
        
        
        
            
                |   | 
        
        
    
        
            | 
                       
|  |  | | My manager is a good coach/mentor. | 
 |  |  |  |  |  | 
        
        
        
        
        
            
                |   | 
        
        
    
        
            | 
                       
|  |  | |  |  | Please enter any comments you may have on management relations. |  |  |  |  | 
 |  | 
        
        
        
        
        
            
                |   | 
        
        
    
        
            |  | 
        
        
        
        
        
            
                |   | 
        
        
    
        
            | 
                       
|  |  | | I am fairly compensated for the work I do. | 
 |  |  |  |  |  | 
        
        
        
        
        
            
                |   | 
        
        
    
        
            | 
                       
|  |  | | I feel I am rewarded when I go above and beyond what is expected in my job. | 
 |  |  |  |  |  | 
        
        
        
        
        
            
                |   | 
        
        
    
        
            | 
                       
|  |  | |  |  | Please enter any comments you may have on your compensation. |  |  |  |  | 
 |  | 
        
        
        
        
        
            
                |   | 
        
        
    
        
            |  | 
        
        
        
        
        
            
                |   | 
        
        
    
        
            | 
                       
|  |  | | The company's total benefits program meets my needs. | 
 |  |  |  |  |  | 
        
        
        
        
        
            
                |   | 
        
        
    
        
            | 
                       
|  |  | | The company's benefits program is competitive with others in the industry. | 
 |  |  |  |  |  | 
        
        
        
        
        
            
                |   | 
        
        
    
        
            | 
                       
|  |  | |  |  | Please enter any comments you may have on company benefits. |  |  |  |  | 
 |  | 
        
        
        
        
        
            
                |   |