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Which of the following best describes the department you work in?
 
Customer Service
 
Finance
 
Service
 
Sales
 
Business Office
 
Parts
 
 
 
How long have you worked at (company)?
 
Less than 6 months
 
6 months - 1 year
 
1-3 years
 
3-5 years
 
5-10 years
 
More than 10 years
 
 
 
Do you feel that employees are recognized as individuals?
 
Always
 
Usually
 
Sometimes
 
Rarely
 
Never
 
Not sure
 
 
 
How motivated are you to see the company succeed?
 
Very motivated
 
Somewhat motivated
 
Not very motivated
 
Not at all motivated
 
Not sure
 
 
Answer the following questions in regards to communication through out the entire company:
Which best describes your impression of communications within your company?
 
Keeps us fully informed
 
Keeps us fairly well informed
 
Keeps us adequately informed
 
Gives us only a limited amount of information
 
Doesn't tell us much at all about what's going on
 
 
 
How much of a typical company newsletter do you read?
 
Generally read all of it
 
Read most of it
 
Read some of it
 
Only skim through it
 
Don't read it at all
 
 
 
From which of the following sources do you now receive most of your information about what is going on in the company? Rank your top three information sources only.
The grapevine
Bulletin board
My supervisor
Company leadership
Group meetings at our work location
Local company publications
Company intranet
Company e-mail
Voice-mail announcements
 
 
 
Overall, how satisfied are you with communications in your company?
 
Very satisfied
 
Satisfied
 
Neutral
 
Dissatisfied
 
Very dissatisfied
 
 
Please rate your satisfaction with employee benefits and policies of your organization.
Not At All Satisfied Somewhat Dissatisfied Neither Satisfied nor Dissatisfied Somewhat Satisfied Very Satisfied
Accuracy of job description
Salary reviews
Adequate information on promotion is provided
Leaves of absence
Health care benefits
Retirement benefits
Listening to the employee in employer/employee disputes
 
 
Rate how you feel about the following:
Very Dissatisfied Somewhat dissatisfied Neutral Satisfied Very Satisfied N/A
I have the support and authority to make the decisions necessary for accomplishing assigned task.

My department uses employee feedback to make improvements.

I have enough involvement in decisions that affect my work.

This is the type of job in which I can feel a sense of accomplishment.

The work I do makes a difference here.

I understand how my work contributes to the company's overall goals and strategy.

I feel valued as a team member.
I receive encouragement to come up with new and better ways of doing things.

Overall, how satisfied are you with the recognition you receive for doing a good job?
 
 
 
Companies policies and procedures make sense to me.
 
Strongly Disagree
 
Somewhat Disagree
 
Undecided
 
Somewhat Agree
 
Strongly Agree
 
 
 
The physical working conditions (e.g., heating, ventilation, space, cleanliness) are very good.
 
Strongly Disagree
 
Somewhat Disagree
 
Undecided
 
Somewhat Agree
 
Strongly Agree
 
 
 
Employees feel secure about their jobs at this company.
 
Strongly Disagree
 
Somewhat Disagree
 
Undecided
 
Somewhat Agree
 
Strongly Agree
 
 
 
I believe I will be working for [Company]in five years.


 
Strongly Disagree
 
Somewhat Disagree
 
Undecided
 
Somewhat Agree
 
Strongly Agree
 
 
 
I would choose [Company] again if I had a job choice to make.



 
Strongly Disagree
 
Somewhat Disagree
 
Undecided
 
Somewhat Agree
 
Strongly Agree
 
 
 
We are interested in how you believe you perform on the job. Please answer the following questions. Thank you, we appreciate your feedback.
 
 
 
Productive time spent working on the tasks assigned to me.
 
Almost all of the time
 
Most of the time
 
Half of the time
 
1/4th of the time
 
less than 1/4th of the time
 
 
 
Overall productivity in getting the job done


 
Excellent
 
Good
 
Average
 
Below average
 
Poor
 
N/A
 
 
 
Going beyond what is expected of me to make customers happy



 
Yes, I always do so
 
Yes, occasionally
 
I work as much as is expected of me
 
I work less than what is expected of me
 
 
 
I respond quickly and courteously to fulfill customers' needs



 
Strongly Disagree
 
Somewhat Disagree
 
Neutral
 
Somewhat Agree
 
Strongly Agree
 
N/A
 
 
 
What is it that helps you to be productive and provide quality service?
   
 
 
 
What would help you to be more productive and provide higher quality service?
   
 
 
Tell us how well the following statements apply to your immediate boss/superior.
Strongly Disagree Disagree Neither Agree or Disagree Agree Strongly Agree
My supervisor is knowledgeable about my work
My supervisor takes time to listen to me
My supervisor gives me fair reviews
My supervisor has reasonable expectations of my work
My supervisor is willing to promote me
My supervisor trains me in whenever necessary
My supervisor makes sure I have sufficient training
 
 

How would you rate your manager's communication skills?
 
Excellent
 
Very good
 
Good
 
Fair
 
Poor
 
 
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".
Poor    Average    Good    Very Good    Excellent   
Communication
Planning and organizing
Directing and coordinating
Job/Technical knowledge
Interpersonal relationship
 
 
 
What does your boss/supervisor do to keep your moral high?
   
 
 
 
What suggestions do you have for your boss/supervisor that would help him/her be a more effective manager?
   
 
 
 
If you have ever offered suggestions to management, how satisfied were you with the response?
 
Never offered a suggestion
 
Not at all satisfied
 
Not very satisfied
 
Somewhat satisfied
 
Very satisfied
 
 
 
Overall how satisfied are you with your position at this company?
 
Very dissatisfied
 
Somewhat dissatisfied
 
Not satisfied or dissatisfied
 
Somewhat Satisfied
 
Very satisfied
 
 
 
What suggestions would you make to improve company/employee relations?
   
 
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