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Organizational Survey
  Manager/Supervisor’s ID Number:  
  Sex:   Male   Female
  Years on the job:  
  Age Group:   18-35   36-45   46-55   56-65   Over 65
  Rating Scale: 1 = Very Unsatisfied, 3 = Satisfied, 5 = Very Satisfied
  This Section: refers to your ORGANIZATION 1 2 3 4 5  
  1. How satisfied are you with the organization's interest in your welfare and job satisfaction?  
  2. How satisfied are you with the organization's commitment to continuously improve its products and services?  
  3. How satisfied are you with the information you receive concerning what is going on within the organization?  
  4. How satisfied are you with the equipment and resources available to do your job?  
  5. How satisfied are you with the progress you have made within your organization?  
  6. How satisfied are you with your understanding of the vision, mission, goals and objectives of the organization?  
  7. How satisfied are you with the organization's pay scale compared to similar organizations?  
  8. How satisfied are you with the way the organization handles suggestions?  
  9. How satisfied are you with the sharing of information between departments?  
  10. How satisfied are you with this organization?  
  What improvements would you suggest?
 

  This Section: refers to your DIRECT SUPERVISOR 1 2 3 4 5  
  1. How satisfied are you with your supervisor’s ability to handle problems?  
  2. How satisfied are you with your supervisor’s approachability and willingness to listen to you?  
  3. How satisfied are you with the standards set by your supervisor?  
  4. How satisfied are you with the encouragement you receive from your supervisor?  
  5. How satisfied are you with the example set by your supervisor?  
  6. How satisfied are you with the encouragement your supervisor provides for the group to work as a team?  
  7. How satisfied are you with the information your supervisor shares about the organization?  
  8. How satisfied are you with your supervisor’s use of team meetings to solve problems?  
  9. How satisfied are you with your supervisor’s receptiveness to your suggestions?  
  10. How satisfied are you with the training and help you receive from your supervisor?  
  What improvements would you suggest?
 

  This Section: refers to your TEAM 1 2 3 4 5  
  1. How satisfied are you that your team is free from gossip?  
  2. How satisfied are you with the encouragement you receive from your team?  
  3. How satisfied are you with the concern your team shows for you?  
  4. 4. How satisfied are you with your team’s ability to work together effectively?  
  5. How satisfied are you with the sharing of information within your team?  
  6. How satisfied are you that your team is free from favoritism?  
  7. How satisfied are you with the confidence and trust demonstrated by the members on your team?  
  8. How satisfied are you with the help you receive from members of your team?  
  9. How satisfied are you to come to work everyday?  
  10. How satisfied are you that each member of your team understands their job and knows how to do it well?  
  What improvements would you suggest?
 
  Please list one GOOD thing that has happened recently:
 
  Please list one BAD thing that has happened recently:
 

 

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