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2006
February
T
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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.
Favorite Drink...
Coke
Pepsi
Sprite
Mountain Dew
A&W Root Beer
Additional Comments/Suggestions for improvement
What are your reasons for joining [COMPANY_NAME]? (Check all that apply)
Unemployed and needed a job
Referred by a friend
Fringe benefits
[COMPANY_NAME] reputation as a good place to work
Career advancement
Advertisement
Salary advancement
Other
Please select the department in which you work (not your primary work function).
-- Select --
Administration
Advertising
Business Development
Clerical, Processing
Creative, Design
Consulting
Customer Service, Sales Support
Distribution
Education/Training
Engineering
Executive Management
Finance
Human Resources
Information Systems, Information Technology
Legal
Marketing
Merchandising
Operations/Production
Purchasing
R&D/Scientific
Research
Sales
Other
What are your reasons for leaving [COMPANY_NAME]? (Check all that apply)
Higher Pay
Benefits
Better job opportunity
Commute
Conflict with other employees
Conflict with managers
Family and personal reasons
Relocation/Move
Career Change
Company Instability
Other
The next part of the Interview is divided into 5 sections: -
Details about
The Job
Your Supervisor
and you
The Department
that you worked in
The Management
and its attitude towards you
Compensation and Benefits
that you received
Each of the sections will have a 5 point scale : -
1 - Strongly Disagree with the statement
2 - Agree
3 - Neutral
4 - Disagree
5 - Strongly Agree with the statement
Please choose one of the above for each of the items displayed.
The Job Itself
1
Strongly Disagree
2
Disagree
3
Neutral
4
Agree
5
Strongly Agree
Job was challenging
Skills were effectively used
Job orientation was effective
Work load was reasonable
Sufficient resources were available
Work environment was safe, comfortable and appropriately equipped
My Supervisor
1
Strongly Disagree
2
Disagree
3
Neutral
4
Agree
5
Strongly Agree
Had knowledge of the job
Had knowledge of supervision
Was open to suggestions
Recognized employees contribution
The Department
1
Strongly Disagree
2
Disagree
3
Neutral
4
Agree
5
Strongly Agree
Had good synergy
Had adequate equipment
Was adequately staffed
Was efficient
The Management
1
Strongly Disagree
2
Disagree
3
Neutral
4
Agree
5
Strongly Agree
Gave fair and equal treatment
Was available to discuss job related issues
Welcomed suggestions and encouraged feedback
Maintained consistent policies and practices
Provided recognition for achievements
Encouraged cooperation/collegiality
Provided development opportunities
Compensation and Benefits
Please Rank the Following : -
1 - Very Dissatisfied
2 - Dissatisfied
3 - Neutral
4 - Satisfied
5 - Very Satisfied
1
Very Dissatisfied
2
3
4
5
Very Satisfied
Medical insurance package
Dental coverage
Prescription drug coverage
Vision coverage
401(k) savings plan
Retirement program
Paid time off
Job market competitiveness of my salary
Stock option plan
Company credit union
Thank You for you input.
It is the [COMPANY_NAME] policy to consider employee survey responses as confidential and data will only be reported in aggregate form.
Please contact
[email protected]
if you have any questions regarding this survey.
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