1. Please specify your gender. (Optional) Male Female
2. How long have you been working in the company? (Optional) Less than six months Less than a year Less than two years Less than 5 years Less than 10 years
3. How long do you see yourself continuing to work in the company? So long as I don't have a better job offer Another few months Another few years As long as possible
4. How satisfied are you with the physical conditions of work in your office? Very satisfied Quite satisfied Somewhat satisfied Not very satisfied Not at all satisfied
5. You would rate your prospects of career advancement in your company as: Very good Good Moderately good Poor Very poor
6. Do you feel your compensation is commensurate with your work and responsibilities? Yes No
7. What would you describe your working relationship with your immediate supervisor/manager as? (Choose all that apply.) Cordial Strained Distant Mutually respectful Formal Informal Lacking in trust Trusting Harmonious Hostile
8. Are you comfortable with the management style followed in the company? Yes No If no, then please explain what you don't
9. How would you rate the following?
10. The formal opportunities you get to interact with other employees in the company are: Quite frequent Frequent enough Not very frequent Too infrequent Negligible
11. How often are you involved in the decision-making process in the company? Almost always Very often Often Sometimes Occasionally Never
12. Have you ever experienced or noticed any of the following kinds of discrimination in the company? (Choose all that apply.) Gender Racial Religious Language Disability Sexual Orientation Age
13. How would you grade the Employee Grievance Handling Process of the company? Highly effective Effective Somewhat effective Ineffective Does it even exist?
14. What things would you like to see improved/changed/added in the company?
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