Pilot Study

Exit Survey »

Thank you, in advance, for completing the following survey items.

1.1 Does the company hire individuals with disabilities?

At least 15% of the work population has a disability.

10-14% of the workforce has a disability.

5-9% of the workforce has a disability.

1-4% of the workforce has a disability.

All employees or no employees have a disability.

Are employees with disabilities integrated in the workplace?

Employees with disabilities are fully integrated in the workplace.

Most employees with disabilities are integrated in the workplace.

Some employees with disabilities are integrated in the workplace

Employees with disabilities work in a segregated group or work alone.

All employees or no employees have a disability.

1.2 Do employees receive sensitivity or inclusive workplace environment training?

All employees receive annual sensitivity or inclusive workplace training.

Some employees receive annual sensitivity or inclusive workplace training.

All employees receive sensitivity or inclusive workplace training upon hire only.

Some employees receive sensitivity or inclusive workplace training upon hire only

Employees do not receive sensitivity or inclusive workplace training.

1.3 Does the company promote and enforce hostile workplace policies?

The company promotes and enforces hostile workplace policies for all employees.

The company promotes hostile workplace policies for all employees.

Some employees are aware of hostile workplace policies.

Some employees are aware of hostile workplace policies, but they are not enforced.

Employees are not aware of hostile workplace policies.

1.4 Are informal supports (e.g., transportation or scheduling assistance) arranged or provided by the employer for all employees?

Supports are developed for employees based on their individual needs.

An array of supports are available and can be accessed by all employees according to individual need.

An array of supports are available but can only be accessed by all employees according to individual needs.

Supports are only available to full-time employees or those employed in certain positions.

Supports are not available for employees.

1.5 Are formal supports (e.g., employee assistance programs, organized car-pooling, direct deposit banking, incentive programs) available for all employees?

Three or more supports are available and can be accessed by each employee according to individual needs

One or two supports are available and can be accessed by each employee according to need.

A variety of supports are available and used according to company referral or eligibility criteria.

Supports are only available to full-time employees or certain employees who are eligible.

Supports are not available for employees.

1.6 Are employees paid by the company for work performed?

Employees receive paychecks from the company on a regular schedule.

Employees receive company paychecks intermittently .

Paychecks are distributed differently for some employees .

Some employees receive a paycheck from a source other than the company.

Some employees are not paid wages .

1.7 Are employees paid equally for equal work?

Employees are paid equal pay for equal work.

Employees are paid equal pay for equal work in some positions.

Wages are different for some employees in any position.

Some employees are paid a minimum wage for all positions.

Some employees are not paid wages.

1.8 Do all employees receive performance reviews?

Employees receive performance reviews and support in performance goal setting.

Employees receive performance reviews.

Some employees receive performance reviews and support in performance goal setting.

Some employees receive performance reviews.

Employees do not receive performance reviews.

1.9 Are employees considered for raises on a regular basis (e.g., automatic yearly raises or raises based on performance)?

Employees receive compensation increases based on performance reviews.

Employees receive automatic compensation increases independent of performance reviews.

Compensation increases are different for some employees based on position or length of employment.

Some employees receive compensation increases.

Some employees do not receive compensation increases.

1.10 Do employees receive medical benefits from the company?

Employees are eligible to receive a full medical benefits package .

Only full-time employees are eligible to receive medical benefits.

Some employees are eligible to receive a partial medical package.

Medical packages are different for some employees.

Employees are not eligible for medical benefits because the company does not offer medical benefits.

1.11 Do employees receive other benefits (e.g., employee discounts, free meals, employee of the month awards, use of facilities) from the company?

Employees are eligible to receive three or more fringe benefits.

Only full-time employees are eligible to receive fringe benefits

Employees are eligible to receive one or two fringe benefits

Fringe benefits are available for some employees.

Employees are not eligible to receive fringe benefits or the company does not offer fringe benefits.

1.12 Do employees receive paid vacation and holiday benefits (e.g., major holidays, vacation personal days)?

Employees receive a paid vacation and paid holidays each year.

Employees receive paid holiday benefits.

Some employees receive paid vacation and paid holidays each year.

Employees can take unpaid vacation and holidays.

Employees do not get paid vacation or holidays.

1.13 Do employees receive personal and sick leave benefits?

Employees receive paid personal and sick leave days.

Employees receive paid personal or sick leave days.

Some employees receive paid personal and/or sick day benefits.

Employees can take unpaid personal and sick leave days.

Employees do not receive paid or unpaid personal or sick leave days.

1.14 Do employees have opportunities for advancement and mobility within the company (e.g., promotion, increased responsibility, title change, or lateral move)?

Employees have opportunities for advancement and mobility within the company.

Employees have some opportunities to move within the company.

Opportunities for movement are not available to employees but the company is willing to arrange job changes on an individual basis.

Only certain employees have opportunities for mobility within the company.

Employees do not have opportunities for advancement or mobility within the company.

1.15 Do employees of the same level (length of employment, job title, experience) earn comparable wages?

All employees receive comparable wages for comparable work at the same employment level.

Some employees receive comparable wages for comparable work at the same employment level.

Wages are calculated differently for some employees.

Wages are different for some employees.

Some employees are not paid.

1.16 Does the company provide incentives to increase job performance?

All employees are eligible to participate in performance incentive programs.

Most employees are eligible to participate in performance incentive programs.

Some employees are eligible to participate in performance incentive programs.

Few employees are eligible to participate in performance incentive programs.

No employees are eligible to participate in performance incentive programs.

1.17 Does the company provide opportunities for employees to request reasonable accommodations?

The company provides substantial information and opportunity for employees to request reasonable accommodations.

The company provides opportunities for employees to request reasonable accommodations.

The company will provide reasonable accommodations if requested.

The company is reluctant to provide reasonable accommodations for employees.

The company does not provide reasonable accommodations.

1.18 Does the company provide support to employees for addressing problems that may affect work productivity?

The company is proactive in providing support to employees to address problems that may affect productivity.

The company will provide support to employees to address problems that affect productivity as part of a supervision plan only.

The company will provide support to some employees to address problems that affect productivity as part of a supervision plan only.

The company will provide support to a few employees to address problems that affect productivity as part of a supervision plan only.

The company will not provide support to employees to address problems that affect productivity.

1.19 Does the company provide training for employees on team building?

The company provides training on team building for all employees.

The company provides training on team building for most employees.

The company provides training on team building for some employees.

The company provides training on team building for few employees.

The company does not provides training on team building for employees.

2.1 Does the company provide opportunities for employees to contribute to a review of the company mission and or vision statement?

The company provides opportunities for all employees to contribute to a review of the company mission and or vision statement.

The company provides opportunities for most employees to contribute to a review of the company mission and or vision statement.

The company provides opportunities for some employees to contribute to a review of the company mission and or vision statement.

The company provides opportunities for few employees to contribute to a review of the company mission and or vision statement.

The company does not provides opportunities for employees to contribute to a review of the company mission and or vision statement.

2.2 Does the company review the mission and or vision statement with employees?

The company reviews the mission and or vision statement with all employees.

The company reviews the mission and or vision statement with most employees.

The company reviews the mission and or vision statement with some employees.

The company reviews the mission and or vision statement with few employees.

The company does not review the mission and or vision statement with employees.

2.3 Do employees receive assistance in asking for reasonable accommodations (determining appropriate accommodations)?

All employees receive assistance when requesting reasonable accommodations.

Most employees receive assistance when requesting reasonable accommodations.

Some employees receive assistance when requesting reasonable accommodations.

Few employees receive assistance when requesting reasonable accommodations.

Employees do not receive assistance when requesting reasonable accommodations.

2.4 Are employees eligible to receive reasonable accommodations?

All employees are eligible to receive reasonable accommodations.

Most employees are eligible to receive reasonable accommodations.

Some employees are eligible to receive reasonable accommodations.

Few employees are eligible receive reasonable accommodations.

Employees do not receive reasonable accommodations.

2.5 Do employees who receive reasonable accommodations receive on-going support to insure the efficiency of the accommodation?

All employees receive on-going support with reasonable accommodations.

Most employees receive on-going support with reasonable accommodations.

Some employees receive on-going support with reasonable accommodations.

Few employees receive on-going support with reasonable accommodations.

Employees do not receive on-going support with reasonable accommodations.

2.6 Does the company employ supervisors who are trained to assist employees with reasonable accommodations?

All supervisors are trained to assist employees with reasonable accommodations.

Most supervisors are trained to assist employees with reasonable accommodations.

Some supervisors are trained to assist employees with reasonable accommodations.

Few supervisors are trained to assist employees with reasonable accommodations.

Supervisors are not trained to assist employees with reasonable accommodations.

2.7 Has the company made adjustments to the workplace environment to assist employees in completing job tasks?

The company has made significant adjustments to the workplace environment to assist employees in completing job tasks.

The company has made some adjustments to the workplace environment to assist employees in completing job tasks.

The company has made few adjustments to the workplace environment to assist employees in completing job tasks.

The company has made inadequate adjustments to the workplace environment to assist employees in completing job tasks.

The company has not made adjustments to the workplace environment to assist employees in completing job tasks.

2.8 Has the company made adjustments to the job tasks to assist employees in completing their work?

The company made significant adjustments to the job tasks to assist employees in completing their work.

The company made some adjustments to the job tasks to assist employees in completing their work.

The company made some adjustments to the job tasks to assist some employees in completing their work.

The company made few adjustments to the job tasks to assist employees in completing their work.

The company has not made adjustments to the job tasks to assist employees in completing their work.

2.9 Are employees regularly asked for feedback on environmental or job task procedures that would lead to increased efficiency?

All employees are asked for feedback on environmental or job task procedures that could lead to increased efficiency.

Most employees are asked for feedback on environmental or job task procedures that could lead to increased efficiency.

Some employees are asked for feedback on environmental or job task procedures that could lead to increased efficiency.

Few employees are asked for feedback on environmental or job task procedure that could lead to increased efficiency.

Employees are not asked for feedback on environmental or job task procedures that could lead to increased efficiency.

2.10 Are job tasks designed to require cooperation among coworkers?

A significant number of job tasks are designed to require cooperation among co-workers.

Some job tasks are designed to require cooperation among co-workers.

Some job tasks are designed to require cooperation some among co-workers.

Few job tasks are designed to require cooperation among co-workers.

Job tasks are not designed to require cooperation among co-workers.

2.11 Does the company provide opportunities for employees to work on cooperative teams?

There are many opportunities for all employees to work on cooperative teams.

There are some opportunities for all employees to work on cooperative teams.

There are many opportunities for some employees to work on cooperative teams.

There are some opportunities for some employees to work on cooperative teams.

There are no opportunities for employees to work on cooperative teams.

2.12 Do employees have regular contact with co-workers throughout the workday?

Employees regularly have contact with co-workers.

Employees occasionally have brief contact with co-workers.

Employees primarily have contact with co-workers and/or supervisors for work related matters only.

Employee contact with co-workers and/or supervisors vary

Some employees do not have contact with other employees or there are no other employees.

2.13 Do employees move around to different areas of the company during work hours?

Employees regularly leave their workstations to visit co-workers or work areas for work and non-work related matters.

Employees primarily leave their workstations at scheduled break times only and occasionally for work and non-work related matters.

Employees primarily leave their workstations for work related matters only.

Employee movement tends to vary form day to day .

Employees stay at their workstation only or there are no other employees.

2.14 Does the company sponsor social activities for employees?

Several activities are available on a regular basis .

Some activities are available for all employees.

Activities are not scheduled regularly.

Activities are only available for some employees.

Activities are not available for employees.

2.15 Are there common areas and gathering places for all employees?

Employees access common areas at the same time as co-workers frequently throughout the workday.

Employees occasionally access common areas at the same time as co-workers.

Employees access common areas at the same time as co-workers during break times only.

Some employees seldom access common areas at the same time as co-workers.

Common areas are not available for employees.

2.16 Do employees have the opportunity to socialize during the workday (e.g., shift changes, when work is completed, supervisor greetings, breaks)?

Employees are free to socialize during the day as long as work is not affected.

Employees sometimes socialize during the workday at times when it is permitted .

Employee socialization varies from day to day .

Employees rarely socialize during the workday .

Employees are not permitted to socialize with other co-workers or there are no other employees.

2.17 Do all employees work in physical proximity to co-workers?

Employees continuously work side by side.

Employees work in the immediate vicinity of one another.

Employee contact varies for some employees.

Some employees work alone or with some brief contact with co-workers.

Some employees work in an isolated area or there are no other employees.

2.18 Do all employees follow the same work schedule?

The majority of employees follow the same work schedule.

Some of the employees follow the same work schedule while others do not.

Employees follow similar work schedules for part of the day .

Employee schedules vary from day to day and sometimes are the same as co-workers and sometimes different.

Some employees follow different schedules or there are no other employees.

2.19 Does a company supervisor make contact with all employees?

A supervisor has frequent contact with all employees throughout the workday.

A supervisor has occasional contact with all employees throughout the workday.

Supervisor contact for some employees varies from day to day.

Some employees have little or no contact with a company supervisor.

Some employees have no contact from a company supervisor.

2.20 Does a company supervisor oversee the activities of all employees?

A supervisor frequently provides supervision for all employees throughout the workday.

A supervisor occasionally supervises all employees throughout the workday.

Supervision for some employees varies from day to day.

Some employees have little or no supervision from a company supervisor.

Employees have no supervision from a company supervisor.

2.21 Do all employees participate in staff or other group meetings (e.g., departmental meetings, supervisor planning sessions, co-worker projects)?

All employees regularly attend meetings.

Most employees occasionally attend meetings.

Employee attendance at meetings varies .

Some employees attend meetings.

Employee meetings are not scheduled or employees do not attend meetings.

2.22 Are employees scheduled to take breaks at the same time?

The majority of employees take breaks at the same time.

Employees sometimes take breaks at the same time.

Employee break times vary daily.

Employees rarely take breaks at the same time.

Employees have different break times or there is no break time.

2.23 Are employees scheduled to take lunch at the same time?

The majority of employees take lunch at the same time.

Employees sometimes take lunch at the same time.

Employee lunch times vary daily.

Employees rarely take lunch at the same time.

Employees have different lunch times or there is no lunchtime.

2.24 Do employees take breaks together?

The majority of employees take breaks together.

Employees sometimes take breaks together.

Employee opportunity to take break together varies daily.

Employees rarely take breaks together.

Employees never take breaks together.

2.25 Do employees take lunch together?

The majority of employees take lunch together.

Employees sometimes take lunch together.

Employee opportunity to take lunches together varies daily.

Employees rarely take lunch together.

Employees never take lunch together.

2.26 Do all employees receive assistance from others regarding work or work-related matters?

Employees usually help co-workers when needed.

Employees sometimes help co-workers when needed.

Employee help varies form day to day.

Employees do not usually help co-workers.

Employees do not help co-workers or there are no other employees.

2.27 Do all employees have regular contact with the public?

The majority of employees have regular contact with the public throughout the workday.

Some employees have regular contact with the public throughout the workday.

Employee contact with the public varies from day to day.

Employees rarely have contact with the public during he workday.

Employees do not have contact with the public.

3.1 Do employees with disabilities in an inclusive work environment maintain positive attendance rates?

Employees with disabilities exceed attendance rates in comparison to typical workers.

Employees with disabilities have moderately better attendance rates in comparison to typical workers.

Employees with disabilities have similar attendance rates in comparison to typical workers.

Employees with disabilities have moderately lower attendance rates in comparison to typical workers.

Employees with disabilities have significantly lower attendance rates in comparison to typical workers.

3.2 Do employees with disabilities in an inclusive work environment have positive safety rates in comparison to typical employees?

Employees with disabilities exceed in comparison to typical workers.

Employees with disabilities have moderately better safety rates in comparison to typical workers.

Employees with disabilities have similar safety rates in comparison to typical workers.

Employees with disabilities have moderately lower safety rates in comparison to typical workers.

Employees with disabilities have significantly lower safety rates in comparison to typical workers.

3.3 Do employees with disabilities in an inclusive work environment reach work expectations (quotas) at the same rate as typical employees?

Employees with disabilities exceed work expectations (quotas) in comparison to typical workers.

Employees with disabilities have slightly increased productivity (quotas) in comparison to typical workers.

Employees with disabilities meet similar productivity expectations (quotas) in comparison to typical workers.

Employees with disabilities meet moderately lower productivity expectation (quotas) in comparison to typical workers.

Employees with disabilities have significantly lower productivity (quotas) in comparison to typical workers.

3.4 Is the work culture affected by the sustainment of an inclusive work environment?

The work culture is significantly, positively affected by the inclusive work environment.

The work culture is moderately, positively affected by the inclusive work environment.

The work culture is not positively or negatively affected by the inclusive work environment.

The work culture is slightly, negatively affected by the inclusive work environment.

The work culture is significantly negatively affected by the inclusive work environment.

3.5 Are workers affected by the sustainment of an inclusive work environment?

Workers are significantly, positively affected by the inclusive work environment.

Workers are moderately, positively affected by the inclusive work environment.

Workers are not positively or negatively affected by the inclusive work environment.

Workers are slightly, negatively affected by the inclusive work environment.

Workers are significantly, negatively affected by the inclusive work environment.

3.6 Do employees discuss common interest topics during work hours?

Employees frequently converse and discuss common interest topics during the work day.

Employees sometimes converse and discuss common interest topics during the work day.

Employee conversations and discussions about common interest topics varies from workday to workday.

Some employees have conversations and discussions about common interest topics in segregated groups.

Employees do not converse and discuss common interest topics during the workday.

3.7 Do employees interact with each other during break times?

The majority of employees frequently interact with each other during break times.

Employees sometimes interact with each other during break times.

Employee interaction is inconsistent during break times and varies from day to day times.

Employees rarely interact with each other during break times.

Employees do not interact with each other during break times or there are no breaks or lunch periods.

3.8 Do employees interact with each other during lunch times?

The majority of employees frequently interact with each other during lunch times.

Employees sometimes interact with each other during lunch times.

Employee interaction during lunch times is inconsistent and varies from day to day.

Employees rarely interact with each other during lunch times.

Employees do not interact with each other during lunch times or there are no lunch times.

3.9 Do employees participate in social activities during work hours (celebrations, events)?

The majority of employees get together for social events during the workday.

Employees sometimes get together for social events during the workday.

Employee participation in social activities varies from day to day depending on the activity and when it is scheduled.

Employees sometimes get together for social events during the workday.

Employees do not get together for social events during the workday.

3.10 Do employees participate in social activities with coworkers outside of work hours?

Employees frequently get together for social activities outside of work hours.

Employees sometimes get together for social activities outside of work hours.

Some employees get together for social activities outside of work hours.

Employees rarely get together for social activities outside of work hours.

Employees do not get together for social activities outside of work hours.

3.11 Please describe any unintended consequences of sustaining an inclusive workplace environment.

Would you be willing to participate in a one-on-one, 30 minute interview with the researcher? Interview data will be confidential. Questions asked in the interview will expand on questions included in the survey. If you are willing to participate, please provide your name and email address. This information will be used to contact you to set up the interview. Contact information will be deleted after the interview.

Your comments with regard to the survey are greatly appreciated. Responses could include information about the ease of navigation, readability of questions and answer choices, or any confusing or unclear items.

Approximately, how long did it take you to complete the survey?