Employee Questionnaire

Using the list shown below, please rank the relative importance of the following workplace issues. Please use the #1 to indicate the issue that is most important to you, the #2 for the next most important, and so on.

Ranking of Importance

___ Advancement
___ Performance Feedback

___ Communications from Senior Management ___ Employment Practices

___ Communications from your Manager ___ Reputation

___ Compensation and Benefits ___ Vision for the Future

___ Empowerment ___ Supervision

___ Equal Employment Opportunity ___ Support from Senior Management

___ Work life Issues ___ Support from your Manager

___ Job Assignments
___ Training

___ Job Security ___ Working Conditions

Comments:

_______________________________________________________________________

In this second list, please indicate your level of satisfaction with each issue, with “1" meaning that you are satisfied, “2" meaning that you are neither satisfied nor dissatisfied, or “3" meaning that you are dissatisfied.

Level of Satisfaction

Comments:

_______________________________________________________________________

___ Advancement	___ Performance Feedback
___ Communications from Senior Management	___ Employment Practices
___ Communications from your Manager	___ Reputation
___ Compensation and Benefits	___ Vision for the Future
___ Empowerment	___ Supervision
___ Equal Employment Opportunity	___ Support from Senior Management
___ Work life Issues	___ Support from your Manager
___ Job Assignments	___ Training
___ Job Security	___ Working Conditions