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| Which of the following best describes the department you work in? |
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| Which of the following best describes your position here? |
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| How long have you worked at (company)? |
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| Overall how satisfied are you with your position at this company? |
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| Please indicate your level of agreement with each of the following statements. |
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| Do you feel that employees are recognized as individuals? |
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| How motivated are you to see the company succeed? |
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| The company clearly communicates its goals and strategies to me? |
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| How flexible is the company with respect to your family responsibilities? |
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| Do you take part in your company's flextime program? |
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| Would you refer a friend to apply for a job at this company? |
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| Have you ever observed or experienced any of the following forms of discrimination or harassment at this company? |
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The company clearly communicates its goals and strategies to me?
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| Which of the following describes the variety of tasks required by your position? |
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| How would you rate (Company) on each of the following? |
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I have a clear path for career advancement?
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My job requirements are clear.
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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".
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| Does your organization support a healthy company culture? |
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| Does your organization provide support for addressing personal and family commitments? |
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| Are team building activities supported at your organization? |
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| Does your organization have an Employee Assistance Program? |
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| Does your organization support employee advancement? |
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| Does your organization support employee education? |
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| Does your organization support a healthy company culture? |
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| Does your organization support a healthy company culture? |
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