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Organizational Survey
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(optional) Manager/ Supervisor’s ID Number:
(optional) Years on job:
(optional) Sex:
Male
Female
(optional) Age Group:
18-35
36-45
46-55
56-65
Over 65
1. How satisfied are you with the organization’s interest in your welfare and job satisfaction?
Very Unsatisfied
Unsatisfied
Somewhat Satisfied
Satisfied
Very Satisfied
2. How satisfied are you with the organization’s commitment to continuously improve its products and services?
Very Unsatisfied
Unsatisfied
Somewhat Satisfied
Satisfied
Very Satisfied
3. How satisfied are you with the information you receive concerning what is going on within the organization?
Very Unsatisfied
Unsatisfied
Somewhat Satisfied
Satisfied
Very Satisfied
4. How satisfied are you with the equipment and resources available to do your job?
Very Unsatisfied
Unsatisfied
Somewhat Satisfied
Satisfied
Very Satisfied
5. How satisfied are you with the progress you have made within the organization?
Very Unsatisfied
Unsatisfied
Somewhat Satisfied
Satisfied
Very Satisfied
6. How satisfied are you with your understanding of the vision, mission, goals and objectives of the organization?
Very Unsatisfied
Unsatisfied
Somewhat Satisfied
Satisfied
Very Satisfied
7. How satisfied are you with the organization’s pay scale compared to similar organizations?
Very Unsatisfied
Unsatisfied
Somewhat Satisfied
Satisfied
Very Satisfied
8. How satisfied are you with the way the organization handles suggestions?
Very Unsatisfied
Unsatisfied
Somewhat Satisfied
Satisfied
Very Satisfied
9. How satisfied are you with the sharing of information between departments?
Very Unsatisfied
Unsatisfied
Somewhat Satisfied
Satisfied
Very Satisfied
10. How satisfied are you with this organization?
Very Unsatisfied
Unsatisfied
Somewhat Satisfied
Satisfied
Very Satisfied
What improvements would you suggest?
1. How satisfied are you with your supervisor’s ability to handle problems?
Very Unsatisfied
Unsatisfied
Somewhat Satisfied
Satisfied
Very Satisfied
2. How satisfied are you with your supervisor’s approachability and willingness to listen to you?
Very Unsatisfied
Unsatisfied
Somewhat Satisfied
Satisfied
Very Satisfied
3. How satisfied are you with the standards set by your supervisor?
Very Unsatisfied
Unsatisfied
Somewhat Satisfied
Satisfied
Very Satisfied
4. How satisfied are you with the encouragement you receive from your supervisor?
Very Unsatisfied
Unsatisfied
Somewhat Satisfied
Satisfied
Very Satisfied
5. How satisfied are you with the example set by your supervisor?
Very Unsatisfied
Unsatisfied
Somewhat Satisfied
Satisfied
Very Satisfied
6. How satisfied are you with the encouragement your supervisor provides for the group to work as a team?
Very Unsatisfied
Unsatisfied
Somewhat Satisfied
Satisfied
Very Satisfied
7. How satisfied are you with the information your supervisor shares about the organization?
Very Unsatisfied
Unsatisfied
Somewhat Satisfied
Satisfied
Very Satisfied
8. How satisfied are you with your supervisor’s use of team meetings to solve problems?
Very Unsatisfied
Unsatisfied
Somewhat Satisfied
Satisfied
Very Satisfied
9. How satisfied are you with your supervisor’s receptiveness to your suggestions?
Very Unsatisfied
Unsatisfied
Somewhat Satisfied
Satisfied
Very Satisfied
10. How satisfied are you with the training and help you receive from your supervisor?
Very Unsatisfied
Unsatisfied
Somewhat Satisfied
Satisfied
Very Satisfied
11. Do you have only one “Boss” that you report to? Yes or No
What improvements would you suggest?
1. How satisfied are you that your team is free from gossip?
Very Unsatisfied
Unsatisfied
Somewhat Satisfied
Satisfied
Very Satisfied
2. How satisfied are you with the encouragement you receive from your team?
Very Unsatisfied
Unsatisfied
Somewhat Satisfied
Satisfied
Very Satisfied
3. How satisfied are you with the concern your team shows for you?
Very Unsatisfied
Unsatisfied
Somewhat Satisfied
Satisfied
Very Satisfied
4. How satisfied are you with your team’s ability to work together effectively?
Very Unsatisfied
Unsatisfied
Somewhat Satisfied
Satisfied
Very Satisfied
5. How satisfied are you with the sharing of information within your team?
Very Unsatisfied
Unsatisfied
Somewhat Satisfied
Satisfied
Very Satisfied
6. How satisfied are you that your team is free from favoritism?
Very Unsatisfied
Unsatisfied
Somewhat Satisfied
Satisfied
Very Satisfied
7. How satisfied are you with the confidence and trust demonstrated by the members on your team?
Very Unsatisfied
Unsatisfied
Somewhat Satisfied
Satisfied
Very Satisfied
8. How satisfied are you with the help you receive from members of your team?
Very Unsatisfied
Unsatisfied
Somewhat Satisfied
Satisfied
Very Satisfied
9. How satisfied are you to come to work everyday?
Very Unsatisfied
Unsatisfied
Somewhat Satisfied
Satisfied
Very Satisfied
How satisfied are you that each member of your team understands their job and knows how to do it well?
Very Unsatisfied
Unsatisfied
Somewhat Satisfied
Satisfied
Very Satisfied
What improvements would you suggest?
Please list one GOOD thing that has happened recently:
Please list one BAD thing that has happened recently:
Name
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