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2005
December
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Sample Survey
Sample Survey
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Hello:
You are invited to participate in our survey [Project Description Here]. In this survey, approximately [Approximate Respondents] people will be asked to complete a survey that asks questions about [General Survey Process]. It will take approximately [Approximate Time] minutes to complete the questionnaire.
Your participation in this study is completely voluntary. There are no foreseeable risks associated with this project. However, if you feel uncomfortable answering any questions, you can withdraw from the survey at any point. It is very important for us to learn your opinions.
Your survey responses will be stricly confidential and data from this research will be reported only in the aggregate. Your information will be coded and will remain confidential. If you have questions at any time about the survey or the procedures, you may contact [Name of Survey Researcher] at [Phone Number] or by email at the email address specified below.
Thank you very much for your time and support. Please start with the survey now by clicking on the
Continue
button below.
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1. Please rate your acquaintance with the Quality Department:
Outstanding
Excellent
Good
Average
Poor
Please let us know what influenced your satisfaction.
Pleasant Attitude of the QCS
Functioning of the department
Feedback given by the quality leads is convincing
No Biasness exists in the department
My Quality issues are taken care off
I feel free to voice my opinion whenever there is a dispute with the QCS
The Suggestions given by me are implemented or adequate feedback is given to me
I get an immediate resolution for my Quality Issues within committed timelines
Please let us know what influenced your dissatisfaction.
Bad Attitude of the QCS
Improper Functioning of the department
Feedback given by the quality leads is not convincing
I am forced to take a feedback
Biasness exists in the department
My Quality issues are not taken care off
I don’t feel free to voice my opinion whenever there is a dispute with the QCS
The Suggestions given by me are not implemented or adequate feedback is not given to me
I don’t get an immediate resolution for my Quality Issues within committed timelines
Please Rate the following qualities on the scale of 1 to 4.
(1: Strongly Agree; 2: Agree; 3: Disagree; 4: Strongly Disagree)
Strongly Agree
Agree
Disagree
Strongly Disagree
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a. My QCS corrects me whenever I am doing something incorrect.
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b. My QCS sets performance expectations & priorities clear
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c. My QCS helps me in meeting the set targets.
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d. My QCS ensures that I am not affected because of undue stress
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e. My QCS encourages / motivates me
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f. My QCS takes time to build trust & rapport.
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g. My QCS ensures that I am well equipped with the necessary skills & support as & when required.
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h. Solicits & listen to my ideas & suggestions.
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i. My QCS serves as a role model.
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j. My QCS gives me recognition whenever I deserve it.
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k. My QCS gives constructive & quality feedback which helps me in improving my performance.
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l. My QCS Respects me as an individual
7. If given an opportunity, what changes would you like to make to the quality department?
10. Any other feedback you would like to provide about Quality Department as a whole.
any specific reason or experience with the Quality Team which makes you believes so.
8. According to you, are Quality Managers easily accessible?
Yes
No
9. Do you feel free to voice your issues with quality team?
Yes
No
11. Does Quality as a team help you to improve your performance as an individual?
Yes
No
Please contact
[email protected]
if you have any questions regarding this survey.
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