1. 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
2. How would you rate the following?
3. You would rate your prospects of career advancement in your company as: Very good Good Moderately good Poor Very poor
4. Please specify your gender. (Optional) Male Female
5. Do you feel your compensation is commensurate with your work and responsibilities? Yes No
6. How would you grade the Employee Grievance Handling Process of the company? Highly effective Effective Somewhat effective Ineffective Does it even exist?
7. Are you comfortable with the management style followed in the company? Yes No If no, then please explain what you don't
8. 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
9. The formal opportunities you get to interact with other employees in the company are: Quite frequent Frequent enough Not very frequent Too infrequent Negligible
10. 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
11. What things would you like to see improved/changed/added in the company?
12. 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
13. How often are you involved in the decision-making process in the company? Almost always Very often Often Sometimes Occasionally Never
14. 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
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