Untitled

Senior Management gives team members a clear picture of the direction the [Company] is headed.

I am satisfied with the strategic direction of the company.

Upper management seems willing to invest in the development of new team members.

Upper management seems willing to accept mistakes made in the process of trying new things.

Upper management understands the problems we face on our jobs.

Upper management treats me with respect.

Overall, how satisfied are you with the job being done by your immediate supervisor?

Very Dissatisfied

Somewhat Dissatisfied

Undecided

Somewhat Satisfied

Very Satisfied

Training Services Evaluation

How satisfied are you:

What should [COMPANY] do to improve the quality of its training services?

[COMPANY] understands the training needs of my department

Overall, the value of training compared with the price paid is:

How satisfied are you:

Do you presently have a dentist that you visit on a regular basis?

Yes

How did you find your dentist?

Referral by friend/neighbor

Referral by acquaintance

Referral by another dentist

Referral by doctor

Phone book

Saw office/sign

Other

Do members of your household go to (check all that apply):

One dentist

More than one dentist

An orthodontist

An oral surgeon

Other dental specialist

Other

The most common reason for not going to the dentist is:

I do go for regular check-ups

Transportation

The cost of care

I don't need to go very often

I forget to go

I don't like dentists

There is nothing wrong with my teeth

Other

Since when have you made regular visits to the current dentist?

How often do you go to the dentist for checkups?

Every 6 months

At least once a year

At least every 2 years

At least once every 3-4 years

It depends, I go when I have trouble with my teeth

Would you like your dentist to notify you when it is time for a 6-month check-up?

Yes

Not sure

If you would like your dentist to notify you when it is time for a check-up, how would you prefer to receive this notice?

Phone call

Mail

E-mail

Other

If two weeks go by and you had not yet made an appointment, would you like them to call back again?

Yes

Not sure

I would prefer the following payment plan for my dental care:

Payment required at the time of care (cash/check)

Payment by charge cards at the time of care (VISA, Mastercard, etc.)

Monthly payment plan at 1.5% interest per month

Payment due within 30 days

Other

Dental charges may vary subject to the amount of time that the dentist takes to complete a procedure, as well as the kind of work performed. If the cost were the same, what kind of dentist would you prefer?

Takes a little longer to get the job done, but talks to you during the procedure (cost $45, 45 minutes time)

Completes the work more rapidly and talks less (cost $45, 30 minutes time)

Completes the work very rapidly (cost $45, 20 minutes time)

Would you expect the dentist who takes longer to do a better job?

Yes

Not sure

What do you like best about your personal dentist?

What would you suggest that might make a visit to your dentist more pleasurable?

In your opinion, how have patient satisfaction ratings changed at your organization in the past year?

Improved considerably

Improved somewhat

Has remained about the same

Has declined somewhat

Has declined considerably

Don't know

In your opinion, how important is patient satisfaction at your organization?

It's a high priority

It's a mid-level priority

It's a low priority

Don't know

Does your organization have managers/staff dedicated to patient-satisfaction matters?

Yes

Don't know

How often does your organization track patient satisfaction?

Daily basis for each patient

Monthly or more often

Quarterly

Semiannually

Yearly or less often

We don't

How is patient satisfaction primarily tracked?

Questionnaires sent through the mail (in-house efforts)

Follow-up telephone calls (in-house efforts)

An outside firm has been hired to track patient satisfaction

Suggestion boxes placed in facilities

Other

Has your organization initiated programs to improve patient satisfaction within the past year?

Yes

Don't know

In your opinion, has patient satisfaction been shown to have a direct effect on your organization's bottom line?

Yes

Don't know

The Job Itself

My Supervisor

The Management

Tell us how well the following statements apply to your immediate boss/superior.

Overall, how satisfied are you with the company you work for?

Extremely Dissatisfied

Very Dissatisfied

Neither Satisfied nor Dissatisfied

Very Satisfied

Extremely Satisfied

Please rate your satisfaction with employee benefits and policies of your organization.

How well do you believe your manager lives by your company's ethic?

Extremely well

Very well

Sometimes does, sometimes doesn't

Not very well

Doesn't abide by own philosophy at all

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

How long have you been working for the company?

This meeting is scheduled for [ ] minutes, what is the maximum amount of time you can spend at this meeting.

Overall, how satisfied are you with communications in your 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 do you feel about the information you receive?

I can almost always believe it.

I can usually believe it.

I can believe it about half the time.

I usually can't believe it.

I can almost never believe it.

How would you rate your manager's communication skills?

Do you feel that employees are recognized as individuals?

How motivated areyou 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?

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

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

The company clearly communicates its goals and strategies to me?

My job requirements are clear.

The amount of work I am expected to do on my job is reasonable.

I am satisfied with the productivity and efficiency of my department

I have enough information to do my job well.

My department operates in a cost-efficient manner.

Considering everything, how satisfied are you with your job?

Very Dissatisfied

Somewhat Dissatisfied

Undecided

Somewhat Satisfied

Very Satisfied

I believe I will be working for [Company]in five years.

I would choose [Company] again if I had a job choice to make.

I would recommend [Company] as a career to my friends.

Team members are held accountable for the decisions they make.

Work assignments are distributed fairly.

Sufficient effort is made to get the opinions and ideas of the employees.

Overall, how satisfied are you with the spirit of teamwork within [Company].

There are more positive than negative aspects to my job.

My immediate supervisor is impartial.

My immediate supervisor gives me feedback that helps me improve my performance.

My immediate supervisor follows through on commitments.

I receive coaching and training from my immediate supervisor.

My immediate supervisor is usually available.

I recieve credit from my immediate supervisor for a job well done.

I feel my job perfomance is fairly evaluated.

My immediate supervisor tries to understand my point of view when he or she discusses problems or projects with me.

My immediate supervisor creates a vision and strategy for my area.

Overall, how satisfied are you with the job being done by your immediate supervisor.

Very Dissatisfied

Soemwhat Dissatisfied

Undecided

Somewhat Satisfied

Very Satisfied

Overall, how satisfied are you with your job?

Compared to a year ago how would you describe your current job satisfaction level?

Much less satisfied

Somewhat less satisfied

Same

Somewhat more satisfied

Much more satisfied

How satisfied are you...

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

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?

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

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

Too many

Enough

Not enough

My job requirements are clear

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".

Please contact [email protected] if you have any questions regarding this survey.