1. How would you rate the following?
2. Given an opportunity, what changes would you like to initiate in this orgainization?
3. How long have you been working in our company? (Optional) Less than six months Less than a year Less than two years Less than 5 years Less than 10 years
4. Please specify your gender. (Optional) Male Female
5. Please select the option that best describes the following statements about your immediate supervisor.
6. Does your work allow you to maintain a healthy balance between your personal and professional life? Yes, absolutely. Somewhat Not at all. My work is too stressful and also takes up much of my time off work.
7. What department are you working in? (Optional) Administration Customer Service Finance Human Resources Information Technology Marketing Sales Other, please specify.
8. Please select the option that best describes the following statements about the senior management.
9. Please select the option that best describes your opinion with regard to the following statements.
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
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