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Which of the following best describes the department you work in?
 
Customer Service
 
 
Finance/Accounting
 
 
MIS
 
 
Sales/Marketing
 
 
Corporate Marketing
 
 
Human Resources
 
 
 

Which of the following best describes your position here?

 
Clerical
 
 
Technician
 
 
Managerial
 
 
Accounting
 
 
Project Management
 
 
Other
 
Other
 
 
 
 
How long have you worked at (company)?
 
 
Less than 6 months
 
 
6 months - 1 year
 
 
1-2 YEARS
 
 
1-2 years
 
 
3-5 years
 
 
More than 5 years
 
 
 

Do you feel that employees are recognized as individuals?


 
 
Always
 
 
Usually
 
 
Sometimes
 
 
Rarely
 
 
Never
 
 
Not sure
 
 
 
How motivated are you to see the company succeed?
 
 
Very motivated
 
 
Somewhat motivated
 
 
Not very motivated
 
 
Not at all motivated
 
 
Not sure
 
 
 
The company clearly communicates its goals and strategies to me?

 
 
Strongly disagree
 
 
Somewhat disagree
 
 
Don't agree or disagree
 
 
Somewhat agree
 
 
Strongly agree
 
 
 
How flexible is the company with respect to your family responsibilities?

 
 
Very inflexible
 
 
Somewhat inflexible
 
 
Neither
 
 
Somewhat flexible
 
 
Very flexible
 
 
 
Would you refer a friend to apply for a job at this company?
 
 
Definitely
 
 
Probably
 
 
Not sure
 
 
Probably not
 
 
Definitely not
 
 
 
Have you ever observed or experienced any of the following forms of discrimination or harassment at this company?
 
 
Racial discrimination
 
 
Sexual harassment
 
 
Age discrimination
 
 
Gender discrimination
 
 
Sexual orientation discrimination
 
 
No, none of the above have been observed or experienced
 
 
 
 

The company clearly communicates its goals and strategies to me?

 
 
Strongly disagree
 
 
Somewhat disagree
 
 
Neither agree nor disagree
 
 
Somewhat agree
 
 
Strongly agree
 
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