We value your feedback
and would like to know how well we are meeting your needs. Please take a
few moments to complete the following questions that apply to your experience,
and return this survey.
Less than 6 months
6 months to a year
1 to 2 years
3 to 5 years
Over 20 years
Opinions are valued
you ever witnessed any forms of discrimination?
Please rate your answers from 1 to 5 (1 being the worst, 5 being the
highest)(1= Strongly Disagree, 5=Strongly Agree)
with your position.
of employees as individuals.
motivation to see the agency succeed.
of agency goals/strategies to employees.
flexibility with respect to your family responsibilities.
comfortable would you be referring a friend to work at your agency?
the variety of tasks your position requires. (1=not enough, 5=too
of interaction with other employees formally.
a clear path of career advancement laid out?
of your job requirements.
to a year ago, how would you rate your current job satisfaction level?
leadership has made positive changes for me.
am enthusiastic about changes within the agency.
am personally committed to changes within the agency.
Leaders in the agency are positive role models.
direct supervisor is a positive role model.
direct supervisor responds to issued important to you.
of your co-workers.
spirit in the agency.
spirit in the department.
Professionalism of your co-workers.
receive a feeling of personal accomplishment at work.
receive appropriate recognition for your contributions.
You have the power to improve the quality of agency.
have a balance of work and home life.
pay accurately matches your responsibilities.
understand the day-to-day operations of my department.
perspectives are encouraged in my department.
and procedures make sense to me.
building/work area conditions are acceptable.
Individual differences (age,race, gender, education, sexual orientation)
satisfied are you with telephone support?
Daily basis for each customer
Monthly or more often
Annually or less often
Questionnaires sent through the mail
Follow-up telephone calls
Outside firm has been hired to track customer satisfaction
Suggestion boxes within facilities
Fear of losing customers
Fear of losing community involvement
Fear of increased regulation by state/federal agencies
Fear of damage to agencies reputation within the community