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Which of the following best describes the department you work in?

Which of the following best describes your position here?

How long have you worked at (company)?

Overall how satisfied are you with your position at this company?

Very dissatisfied

Somewhat dissatisfied

Not satisfied or dissatisfied

Somewhat Satisfied

Very satisfied

Please indicate your level of agreement with each of the following statements.

Do you feel that employees are recognized as individuals?

How motivated are you to see the company succeed?

Very motivated

Somewhat motivated

Not very motivated

Not at all motivated

Not sure

The company clearly communicates its goals and strategies to me?

Strongly disagree

Somewhat disagree

Don't agree or disagree

Somewhat agree

Strongly agree

How flexible is the company with respect to your family responsibilities?

Do you take part in your company's flextime program?

Yes

No

Would you refer a friend to apply for a job at this company?

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

The company clearly communicates its goals and strategies to me?

Strongly disagree

Somewhat disagree

Neither agree nor disagree

Somewhat agree

Strongly agree

Which of the following describes the variety of tasks required by your position?

Too many

Enough

Not enough

I receive enough opportunity to interact with other employees on a formal level.

Strongly disagree

Somewhat disagree

Neither agree nor disagree

Somewhat agree

Strongly agree

How would you rate (Company) on each of the following?

I have a clear path for career advancement?

Strongly disagree

Somewhat disagree

Neither agree nor disagree

Somewhat agree

Strongly agree

How would you rate your manager in each of the following areas? Please assign a rating on a scale from 1 to 5, where 1 represents "Poor" and 5 represents "Excellent".